彭哲　　张琦

[摘要] 目的 探讨综合护理对红外线治疗膝关节骨性关节炎（KOA）的效果。 方法 选择我院2019年1—12月收治的KOA患者300例为研究对象，随机分为对照组与观察组，每组各150例，两组均给予红外线治疗，对照组采用常规护理，观察组采用综合护理，护理前后采用西安大略和曼彻斯特大学关节炎指数（WOMAC）评价膝关节功能状态，采用焦虑自评量表（SAS）评价焦虑情况，采用抑郁自评量表（SDS）评价抑郁情况，比较两组不良反应发生情况及护理满意度。 结果 护理后，观察组WOMAC评分为（61.77±11.34）分，低于对照组的（86.27±9.62）分，差异有统计学意义（P<0.05）;观察组SAS评分为（33.84±6.26）分，低于对照组的（44.36±9.61）分，SDS评分为（34.81±5.39）分，低于对照组的（45.91±8.47）分，差异有统计学意义（P<0.05）;两组均未发生严重不良反应;观察组护理满意度评分为（91.35±5.37）分，高于对照组的（80.23±7.61）分，差异有统计学意义（P<0.05）。 结论 红外线治疗KOA联合综合护理可改善患者膝关节功能状态与患者焦虑、抑郁情况，提升护理满意度，值得临床应用与推广。

[关键词] 红外线;综合护理;膝关节骨性关节炎;西安大略和曼彻斯特大学关节炎指数;焦虑;抑郁

[中图分类号] R473.6          [文獻标识码] B          [文章编号] 1673-9701（2021）13-0185-04

Study on the effect of comprehensive nursing in the treatment of knee osteoarthritis by infrared rays

PENG Zhe   ZHANG Qi

Department of Bone and Joint， Hubei No. 672 Orthopedic Hospital of Integrated Chinese and Western Medicine， Wuhan   430079， China

[Abstract] Objective To explore the effect of comprehensive nursing in the treatment of knee osteoarthritis（KOA） by infrared rays. Methods A total of 300 KOA patients who were admitted to our hospital from January to December 2019 were selected as the study subjects， and they were randomly divided into 150 patients in the control group and 150 patients in the observation group. Both groups were given infrared therapy. The control group was given routine care， and the observation group was given comprehensive care. The Western Ontario and Manchester University Arthritis Index （WOMAC） were used to evaluate the functional status of the knee joint before and after nursing. The anxiety self-rating scale（SAS） was used to evaluate anxiety， and the self-rating depression scale（SDS） was used to evaluate depression. The occurrence of adverse reactions and nursing satisfaction were compared between the two groups. Results After nursing， the WOMAC score of （61.77±11.34）points in the observation group was lower than that of （86.27±9.62） points in the control group， and the difference was statistically significant（P<0.05）; SAS score of （33.84±6.26） was lower than that of （44.36±9.61） points in the control group， and the SDS score of （34.81±5.39） points was lower than that of （45.91±8.47） in the control group. The differences were statistically significant（P<0.05）; no serious adverse reactions occurred in the two groups; the nursing satisfaction score of （91.35±5.37） points in the observation group was higher than that of （80.23±7.61） points in the control group， and the difference was statistically significant（P<0.05）. Conclusion Infrared therapy KOA combined with comprehensive nursing can improve the functional state of the knee joint and the patient′s anxiety and depression， and improve nursing satisfaction， which is worthy of clinical application and promotion.

[Key words] Infrared rays; Comprehensive care; Knee osteoarthritis （KOA）; Western ontario and manchester University arthritis index （WOMAC）; Anxiety; Depression

膝关节骨性关节炎（Knee osteoarthritis，KOA）临床较为常见，好发于中老年女性，但也有研究发现该病年轻患者发病率近些年有逐渐升高趋势[1]。KOA发病原因复杂，主要临床表现为膝关节疼痛、功能受限，晚期可伴滑膜炎而表现为剧烈疼痛、关节活动受限、肿胀及积液等[2-3]。西医治疗主要以对症治疗为主，但病情易反复，研究证实红外线治疗KOA效果显著[4]。KOA患者大多行动不便，病情迁延，多伴随焦虑、抑郁等负性情绪，此外关节疼痛会对患者功能康复锻炼造成阻碍，严重影响患者身心健康;而有效地护理措施可提升KOA患者临床治疗效果，改善预后[5]。本研究对KOA患者采取红外线治疗与综合护理，疗效显著，现报道如下。

1 资料与方法

1.1 一般资料

选择我院2019年1—12月收治的KOA患者300例为研究对象，随机分为对照组与观察组，每组各150例。……