[摘要]目的 探討社區(qū)中醫(yī)護(hù)理對(duì)老年類風(fēng)濕關(guān)節(jié)炎患者生活質(zhì)量的影響。方法 收集2014年1月～2016年1月我社區(qū)老年風(fēng)濕關(guān)節(jié)炎患者92例臨床資料，依據(jù)患者的意愿分為對(duì)照組和實(shí)驗(yàn)組，每組46例，對(duì)照組患者采用臨床常規(guī)方法治療和護(hù)理，實(shí)驗(yàn)組患者在對(duì)照組患者治療和護(hù)理的基礎(chǔ)上實(shí)施社區(qū)中醫(yī)護(hù)理，用SF-36生存質(zhì)量量表對(duì)患者的生存質(zhì)量進(jìn)行評(píng)估并比較兩組患者的康復(fù)效果。結(jié)果 社區(qū)中醫(yī)護(hù)理后實(shí)驗(yàn)組的生存質(zhì)量評(píng)分高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（t=8.694，P=0.000）；實(shí)驗(yàn)組總有效率97.40%，顯著優(yōu)于對(duì)照組的77.10%，差異有統(tǒng)計(jì)學(xué)意義（P<0.01）。結(jié)論 開展社區(qū)中醫(yī)護(hù)理對(duì)老年人類風(fēng)濕關(guān)節(jié)炎生存質(zhì)量有著積極的作用，值得臨床上推廣應(yīng)用。
　　[關(guān)鍵詞]社區(qū)；中醫(yī)護(hù)理；老年；類風(fēng)濕關(guān)節(jié)炎；生活質(zhì)量
　　[中圖分類號(hào)] R473.2 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721（2018）2（b）-0194-03
　　Influence of community traditional Chinese medicine nursing on quality of life in elderly patients with rheumatoid arthritis
　　ZHONG Xi-yan LIN Xuan GU Man-hong
　　Shanghe Community Health，Baoan District Hospital of Traditional Chinese Medicine in Shenzhen City of Guangdong Province，Shenzhen 518000，China
　　[Abstract]Objective To explore the influence of community traditional Chinese medicine （TCM） nursing on the quality of life （QOL） in elderly patients with rheumatoid arthritis.Methods The clinical data of 92 senile patients with rheumatoid arthritis in our community from January 2014 to January 2016 were collected.According to patient′s will，they were evenly divided into the experimental group and the control group，with 46 cases in each group，in the control group，the clinical conventional routine method and nursing was used，in the experimental group，community TCM nursing was applied on the basis of the control group.The patient′s QOL was assessed by SF-36 scale，and the rehabilitation effect was compared between the two groups.Results The quality of life score of the experimental group was higher than that of the control group， the difference was statistically significant （t=8.694，P=0.000）.The total effectiveness rate in the experimental group was 97.40%，which was significantly better than that of the control group accounting for 77.10% with a statistical difference （P<0.01）.Conclusion Implementation of the community TCM nursing has a positive effect on QOL in the elderly patients with rheumatoid arthritis，and it is worthy of clinical application.
　　[Key words]Community；TCM Nursing；The elderly；Rheumatoid arthritis；Quality of life
　　類風(fēng)濕關(guān)節(jié)炎屬于一種以侵蝕性、對(duì)稱性為基本特征表現(xiàn)的關(guān)節(jié)炎癥反應(yīng)類疾病，同屬也是慢性、全身性自身免疫性疾病的一種。本病呈全球性分布，是目前臨床乃至全社會(huì)公認(rèn)的一種導(dǎo)致人類勞動(dòng)力喪失和致殘的一個(gè)非常主要的原因。根據(jù)相關(guān)領(lǐng)域所進(jìn)行的研究資料顯示[1]，該病的發(fā)病率為0.32%～0.36%，由于類風(fēng)濕關(guān)節(jié)炎需終身治療，治療時(shí)間長(zhǎng)，預(yù)后效果往往不佳[2-3]。該疾病所具有的高致殘性，可以使廣大患者在患病時(shí)候的短時(shí)間內(nèi)迅速喪失勞動(dòng)能力，生活不能自理，使情緒出現(xiàn)異常，對(duì)生活質(zhì)量造成嚴(yán)重影響[4]。故而在進(jìn)行治療的過(guò)程后，需給予適當(dāng)?shù)纳鐓^(qū)護(hù)理，以改善患者的情緒、生活質(zhì)量。有研究顯示，社區(qū)中醫(yī)護(hù)理應(yīng)用于類風(fēng)濕關(guān)節(jié)炎中，能夠顯著改善患者的情緒、康復(fù)效果及生活質(zhì)量[5]�，F(xiàn)筆者為探討社區(qū)中醫(yī)護(hù)理對(duì)類風(fēng)濕關(guān)節(jié)炎患者預(yù)后及生活質(zhì)量的影響，將類風(fēng)濕性關(guān)節(jié)炎患者分為兩組，分別應(yīng)用常規(guī)護(hù)理、社區(qū)中醫(yī)護(hù)理，比較其康復(fù)效果及生活質(zhì)量，現(xiàn)報(bào)道如下。

相關(guān)熱詞搜索：關(guān)節(jié)炎 類風(fēng)濕 生活質(zhì)量 老年 護(hù)理