摘要
目的 构建适用于风湿免疫疾病患者的中医护理路径，并探究其在改善患者临床症状、提升生活质量及降低疾病复发率中的应用效果。方法 选取2023年7月到2024年7月在我院就诊的100例风湿免疫疾病患者为研究对象，采用随机抽签法分为对照组和实验组各50例。对照组实施常规西医护理，实验组基于“辨证施护”原则构建中医护理路径。比较两组患者临床症状积分、生活质量评分及6个月内疾病复发率。结果 干预后，实验组关节疼痛、肿胀积分分别为（1.23±0.35）分、（1.18±0.29）分，显著低于对照组的（2.86±0.51）分、（2.75±0.48）分（t=18.324、18.965，P均<0.001）；实验组生活质量评分（82.56±6.34）分高于对照组（65.32±5.87）分（t=14.782，P<0.001）；实验组6个月复发率4.00%（2/50）低于对照组20.00%（10/50）（χ²=6.061，P=0.014）。结论 构建的中医护理路径可有效改善风湿免疫疾病患者临床症状，提升生活质量，降低复发率，具有临床推广价值。
关键词： 风湿免疫疾病；中医护理路径；辨证施护；临床效果
Abstract
Objective To develop a TCM nursing pathway for rheumatologic and immunological patients and evaluate its effectiveness in improving clinical symptoms, enhancing quality of life, and reducing disease recurrence rates. Methods A total of 100 rheumatologic and immunological patients treated at our hospital between July 2023 and July 2024 were randomly assigned into a control group (50 cases) and an experimental group (50 cases) using a random draw method. The control group received standard Western medical care, while the experimental group followed a TCM nursing pathway based on the "diagnostic differentiation-based nursing" principle. Clinical symptom scores, quality of life scores, and 6-month disease recurrence rates were compared between groups. Results Post-intervention, the experimental group showed significantly lower joint pain and swelling scores (1.23±0.35 vs 1.18±0.29) compared to the control group (2.86±0.51 vs 2.75±0.48) (t=18.324,18.965; P<0.001). The experimental group's quality of life score (82.56±6.34) was higher than the control group (65.32±5.87) (t=14.782; P<0.001). The 6-month recurrence rate in the experimental group (4.00% [2/50]) was significantly lower than that in the control group (20.00% [10/50]) (χ²=6.061; P=0.014). Conclusion The developed TCM nursing pathway effectively improves clinical symptoms, enhances quality of life, and reduces disease recurrence rates in rheumatologic and immunological patients, demonstrating clinical promotion value.
Key words： Rheumatic immune diseases; TCM nursing pathway; Syndrome differentiation and nursing; Clinical effect
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