舒适护理对类风湿性关节炎患者心理和生活质量的影响

目的 分析舒适护理对类风湿性关节炎(RA)患者焦虑、抑郁等心理健康情况和生活质量的影响。 方法 选取2014年3月—2015年7月蚌埠医学院第一附属医院收治的RA患者共86例作为研究对象，2015年1月1日起实施舒适护理，以此为时间界限，2014年3—12月45例患者设为常规护理组，实施常规护理；2015年1—7月41例患者设为舒适护理组，实施舒适护理，内容包括躯体舒适护理、心理舒适护理、社会舒适护理以及其他舒适护理。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估心理健康状况，简明生活质量量表(SF-36)评价生活质量情况，分别于入院时、出院前1 d进行问卷调查，录入数据后使用SPSS统计学软件进行统计学分析，比较2组患者护理前后SAS、SDS和SF-36评分差异。 结果 2组患者护理干预前SAS、SDS和SF-36评分差异均无统计学意义(均P>0.05)；与干预前相比，干预后舒适护理组和常规护理组SAS、SDS评分较前下降，差异有统计学意义(均P<0.05)，而SF-36评分有不同程度的升高(P<0.05)；干预后，舒适护理组SAS和SDS评分低于常规护理组，而SF-36评分中各个子项目均高于常规护理组，差异有统计学意义(均P<0.05)。 结论 舒适护理能帮助调节RA患者心理状态，缓解长期病痛导致的焦虑、抑郁情绪，帮助树立健康、乐观的心态，同时提高生活质量，值得临床推广。 

The effect of comfortable nursing on psychological status and quality of life in patients with rheumatoid arthritis

Objective To analysis the effect of comfortable nursing on psychological status such as anxiety,depression and the quality of life in patients with rheumatoid arthritis(RA). Methods A total of 86 cases of RA patients in our hospital between March,2014 to July,2014 were recruited,and comfortable nursing was conducted since 2015 January 1,depending on this time line,41 patients from January,2015 to July,2015 were set as comfortable nursing group,including the body comfort nursing,psychological comfort nursing,social comfort nursing and others comfortable nursing method;while 45 patients between March,2014 to December,2014 were still implemented routine nursing and set as routine nursing group.Self-evaluation of anxiety scale(SAS) and depression self rating scale(SDS) was carried out to evaluate the mental health status,using brief life quality scale(SF-36) to analyze the quality of life,interviewed on admission and one day before leaving hospital respectively.SPSS statistical software was used to compare the difference of SAS,SDS and SF-36 before and after nursing between two groups. Results There had no obvious difference of SAS,SDS and SF-36 score between two groups before nursing intervention(P>0.05).Compared with the value before intervention,the SAS and SDS scores dropped in both groups after intervention,with statistically significance(P<0.05),while the SF-36 scores increased(P<0.05).In addition,the SAS,SDS and SF-36 score in comfortable nursing group after intervention were better than the routine nursing group,with statistical significance(P<0.05). Conclusion Comfortable nursing can help to regulate the psychological status,relieve the anxiety and depression caused by long time pain,and build up healthy and optimistic perspective,also help to improve the quality of life in RA patients,which is worthy of clinical promotion.