2023年2月第30卷第2期心理疏导配合早期康复训练对类风湿关节炎患者关节功能及并发症的影响刘宁，楚留咪（郑州市骨科医院综合内外科，河南郑州451450）【摘要】目的探讨心理疏导配合早期康复训练对类风湿关节炎（RA）患者关节功能及并发症的影响。方法70例RA患者随机分为两组各35例，对照组采用常规护理干预，观察组在对照组基础上采用心理疏导配合早期康复训练干预，比较两组的关节功能、并发症发生率。结果干预后，观察组的关节晨僵时间短于对照组，关节压痛点、关节肿胀数少于对照组，手握力高于对照组，关节功能障碍分级优于对照组（P＜0．05）。观察组的并发症发生率为2．9％，低于对照组的22．9％（P＜0．05）。结论心理疏导配合早期康复训练有助于改善RA患者的关节功能，降低并发症发生风险，值得临床推广应用。【关键词】心理疏导；早期康复训练；类风湿关节炎；关节功能；并发症中图分类号：R473.5文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0235ImpactofPsychologicalCounselingCombinedwithEarlyRehabilitationTrainingonJointFunctionandComplicationsofPatientswithRheumatoidArthritis//LIUNing,CHULiumi(DepartmentofComprehensiveInternalMedicineandSurgery,ZhengzhouOrthopedicHospital,Zhengzhou451450,China)[Abstract]ObjectiveToexploretheimpactofpsychologicalcounselingcombinedwithearlyrehabilitationtrainingonjointfunctionandcomplicationsofpatientswithrheumatoidarthritis(RA).Methods70casesofRApatientswererandomlydividedintotwogroups,with35casesineachgroup.Thecontrolgroupreceivedroutinenursingintervention,andtheobservationgroupreceivedpsychologicalcounselingcombinedwithearlyrehabilitationtraininginterventiononthebasisofthecontrolgroup.Thejointfunctionandincidenceofcomplicationswerecomparedbetweenthetwogroups.ResultsAfterintervention,thetimeofjointmorningstiffnessintheobservationgroupwasshorterthanthatinthecontrolgroup,thenumberofjointtendernesspointsandnumberofjointswellingwerelessthanthoseinthecontrolgroup,thehandgripstrengthwashigherthanthatinthecontrolgroup,andthegradingofjointdysfunctionwasbetterthanthatinthecontrolgroup(P<0.05).Theincidenceofcomplicationsintheobservationgroupwas2.9%,lowerthan22.9%inthecontrolgroup(P<0.05).Con...
