中药塌渍护理在膝骨关节炎患者中的应用OA
Application of Chinese Herbal Wet Compress in Patients with Knee Osteoarthritis
目的 探讨中药塌渍护理在膝骨关节炎患者中的应用,为临床制订相关护理措施提供参考依据.方法 2022年2月至2025年4月,采用便利抽样法选取安徽中医药大学第六附属医院就诊的膝骨关节炎患者30例作为研究对象,采用随机数字表法将研究对象分为对照组(n=15)和观察组(n=15).对照组给予常规护理,观察组在常规护理基础上实施中药塌渍护理.比较两组患者干预前后的疼痛评分(VAS)、膝关节功能评分(WOMAC)及生活质量(SF-36)的变化.结果 干预前,两组VAS、WOMAC和SF-36评分差异均无统计学意义(均P>0.05).干预2周后,两组VAS、WOMAC评分均较护理干预前显著下降(均P<0.05),且观察组2项评分均低于对照组[VAS:(1.45±0.21)分 vs.(2.42±0.27)分、WOMAC:(96.45±12.34)分 vs.(118.67±16.78)分],差异均有统计学意义(均P<0.05);两组SF-36评分均较护理干预前提高,且观察组评分高于对照组[(78.92±9.45)分 vs.(65.34±10.23)分],差异均有统计学意义(P<0.05).结论 在常规护理基础上运用中药塌渍护理,能有效减轻膝骨关节炎患者的疼痛症状,改善关节功能,提高生活质量.
Objective To explore the application of Chinese herbal wet compress in patients with knee osteoarthritis,aiming to provide a reference for developing relevant clinical nursing interventions.Methods From February 2022 to April 2025,30 patients with knee osteoarthritis treated at the Sixth Affiliated Hospital of Anhui University of Chinese Medicine were selected as subjects by convenience sampling.They were divided into a control group(n=15)and an observation group(n=15)according to a random number table.The control group received conventional nursing,while the observation group additionally received Chinese herbal wet compress.Changes in Visual Analogue Scale(VAS)scores for pain assessment,Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores for knee joint function assessment,and 36-Item Short Form Survey(SF-36)scores for quality of life assessment were compared between the two groups before and after intervention.Results Before intervention,there were no statistically significant differences in VAS,WOMAC,and SF-36 scores between the two groups(P>0.05 for all).After 2 weeks of intervention,VAS and WOMAC scores decreased significantly in both groups compared to pre-intervention scores(P<0.05 for all),and both were lower in the observation group than in the control group[VAS:(1.45±0.21)vs.(2.42±0.27)points;WOMAC:(96.45±12.34)vs.(118.67±16.78)points],with statistically significant differences(P<0.05 for both);SF-36 scores increased significantly in both groups compared to pre-intervention scores,and were higher in the observation group than in the control group[(78.92±9.45)vs.(65.34±10.23)points],with statistically significant differences(P<0.05 for all).Conclusion Chinese herbal wet compress,as an adjunct to conventional nursing,can effectively relieve pain symptoms,improve joint function,and enhance the quality of life of patients with knee osteoarthritis.
杨勇
安徽中医药大学第六附属医院,安徽 滁州 239099
医药卫生
中药塌渍膝骨关节炎疼痛管理护理干预临床疗效
Chinese herbal wet compressKnee osteoarthritisPain managementNursing interven-tionClinical efficacy
《上海护理》 2026 (10)
23-26,4
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