基于中医辨证理论的护理干预对痛风性关节炎患者康复及心理健康水平的影响\o分享到微博\o分享到微信\o分享到QQ\o分享到QQ空间

【摘要】目的：探讨中医辨证理念护理对痛风性关节炎患者康复及心理健康的影响。方法：选择100例痛风性关节炎患者，运用随机方法分成观察组和对照组，各50例。对照组予以常规治疗及护理，观察组在对照组基础上予以中医辨证理论护理。比较两组干预前与干预2个月后中医症候积分以及心理健康状况评分（SAS及SDS）。结果：干预2个月后，两组中医症候积分、SAS评分以及SDS评分都下降，且观察组上述评分低于对照组（P0.05）。结论：对痛风性关节炎患者运用基于中医辨证理论的护理干预，有助于患者早期康复，提高心理健康水平。

【关键词】痛风性关节炎；中医辨证理论；护理；康复；心理健康

EffectofnursinginterventionbasedonsyndromedifferentiationtheoryoftraditionalChinesemedicineontherehabilitationandmentalhealthofpatientswithgoutyarthritis

DUXiaoyan，LIUYang

GansuProvincialHospitalofTraditionalChineseMedicine，Lanzhou，Gansu730050，China

【Abstract】Objective：ToinvestigatetheeffectofTCMsyndromedifferentiationconceptnursingontherehabilitationandmentalhealthofpatientswithgoutyarthritis.Methods：Atotalof100patientswithgoutyarthritiswereselectedandrandomlydividedintotheobservationgroupandthecontrolgroup，with50casesineachgroup.Thecontrolgroupwasgivenconventionaltreatmentandnursing，andtheobservationgroupwasgivenTCMsyndromedifferentiationtheorynursingonthebasisofthecontrolgroup.TheTCMsymptomscoresandmentalhealthstatusscores（SASandSDS）beforeinterventionand2monthsafterinterventionbetweenthetwogroupswerecompared.Results：After2monthsofintervention，theTCMsyndromescores，SASscoreandSDSscoreinbothgroupsdecreased，andtheabovescoresoftheobservationgroupwerelowerthanthoseofthecontrolgroup（P0.05）.Conclusion：Forpatientswithgoutyarthritis，theapplicationofnursinginterventionbasedonthesyndromedifferentiationtheoryoftraditionalChinesemedicineishelpfultoearlyrecoveryandimprovementalhealthlevelofpatients.

【KeyWords】Goutyarthritis；TCMsyndromedifferentiationtheory；Nursing；Rehabilitation；Mentalhealth

痛风性关节炎是一种由尿酸晶体沉积在关节中引起的疾病，主要表现为关节炎发作，疼痛剧烈，影响患者生活质量。传统中医辨证理论认为，痛风性关节炎是由于体内湿热痰浊、气血运行不畅所致，治疗需从整体调理身体平衡出发[1]。痛风性关节炎的治疗主要是通过药物治疗来减轻疼痛和降低尿酸水