CAJ | 학술논문

将65例强直性脊柱炎患者随机分为观察组32例,对照组33例.对照组采用常规药物治疗,观察组在常规药物治疗的基础上全程接受社区干预,干预内容包括健康教育、心理干预、关节功能锻炼.观察治疗6个月.结果显示,观察组实际观察29例,对照组实际观察28例；治疗后观察组的脊柱运动(前屈、后伸、侧弯)、指地试验、扩胸试验和枕墙距均优于对照组(P＜0.05)；治疗后观察组的SAS、SDS标准分均低于对照组(P＜0.05).提示,社区干预能有效改善强直性脊柱炎患者的脊柱活动度,减轻脊柱畸形的发生；改善焦虑和抑郁状态,提高患者生活质量.
장65례강직성척주염환자수궤분위관찰조32례,대조조33례.대조조채용상규약물치료,관찰조재상규약물치료적기출상전정접수사구간예,간예내용포괄건강교육、심리간예、관절공능단련.관찰치료6개월.결과현시,관찰조실제관찰29례,대조조실제관찰28례；치료후관찰조적척주운동(전굴、후신、측만)、지지시험、확흉시험화침장거균우우대조조(P＜0.05)；치료후관찰조적SAS、SDS표준분균저우대조조(P＜0.05).제시,사구간예능유효개선강직성척주염환자적척주활동도,감경척주기형적발생；개선초필화억욱상태,제고환자생활질량.
Sixty five patients with of ankylosing spondylitis were randomly divided into intervention group (n =32) and control group (n =33).Patients in control group received conventional treatment only ;in addition to conventional treatment,patients in intervention group also received community intervention,including health education,psychological counseling and joint function exercise.The treatment lasted for 6 months,29 patients in intervention group and 28 in control group completed the trial.The results showed that the spinal motion (flexion,extension,lateral bending),chest expantion,finger to floor distance,occiput to wall gap in intervention group were better improved than those in control group after treatment (P ＜ 0.05).The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were lower in intervention group than those in control group after treatment (P ＜ 0.05).The results indicate that community intervention can effectively improve spinal mobility,reduce spinal deformity; relieve the anxiety and depression and improve the quality of life for patients with ankylosing spondylitis.