授权理论下疼痛评估对急性痛风关节炎患者睡眠质量的影响

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AbstractObjective：To explore the impactof activitypainasessmentunder theauthorization theorymodelonsleepqualityin patientswithacutegoutyarthritis.Methods：Atotalof 6Opatientswithacute goutyarthritisadmitedtotheAfiliatedHospitalof Guizhou MedicalUniversityfromJanuarytoDecember2O24 wereselectedandwererandomlydivided intoacontrol groupandan observationgroupusingarandomnumbertablemethod，with3Opatients ineachgroup.Thecontrolgroupreceivedpaincarebased onthe NumericalRating Scale（NRS）assessment，while theobservationgroupreceived paincare interventionbasedonthe Functional ActivityScale（FAS）combined withNSscore.The Pitsburgh SlepQuality Index（PSQI）was used tocomparethediferences insleepquality betweentwo groups.The Numerical Rating Scale（NRS）was used to compare the pain improvement ffect beforeandafterinterventionbetweenthetwo groups.TheFAS（FAS）wasusedtocompare thepain improvementefectsbetween thetwo groups，andchanges insleepdurationwerecompared.Results：Afteradmisionfor1and3days，teNRSpainsoreand FAS painratingsof theobservationgroupweresignificantlylowerthanthoseof thecontrolgroup，andthediferences between the two groups were statistically significant（ P<0.05 ）.After admission for 1 day and 3 days，the PSQI sleep volume score of the observation groupwassignificantlylowerthanthatofthecontrolgroup，andthediferencebetwen thetwogroups wasstatisticaly significant （ P<0.05 ）. After admisson for 1 day and 3 days，the sleep duration of the observation group was significantly longer than that of the control group，and the difference between the two groups was statistically significant（ P<0.05 ） . Conclusion ： Activity painassessmentundertheauthorizationtheorymodelcanimprovetheefectivenessofpainmanagementand promotetheimprovement of patients'sleep quality，which is worthy of promotion.

KeywordsAuthorization theory；Activitypain assessment；Acute gouty arthritis；Sleep quality；Pain；Paincare;；Sleep management； Sleep duration

中图分类号：R338.63;R684.3 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.07.042

痛风性关节炎是一种因尿酸代谢异常而引发的严重疾病，其发生发展的核心机制是尿酸盐结晶在关节中持续聚集，致使该部位出现急性炎症反应]此类患者具有十分典型的疾病症状，多表现为关节部位突发明显红肿，进而使关节活动受到极大限制，这种情况多见于第一跖趾关节，同时也易出现在其他部位[2]。（剩余5662字）