To explore the clinical effects of individualized nursing combined with Sanhuang plaster in the treatment of gouty arthritis.

Sixty-seven patients with gout arthritis who were admitted to the AffiliatedShundeHospitalof Jinan University from June 2015 to June 2019 were retrospectively analyzed. The patients used individualized nursing combined with Sanhuang plaster (n=18) were the combined group, the patients used individualized nursing without Sanhuang plaster (n=16) werethe individual group, the patients used routine nursing and Sanhuangplaster (n=20) were the Sanhuang group, and the patients used routine nursing only(n=13) werethe control group. The visual analogue scale (VAS score), psychological scoring, the pain relief time, hospital stay time, nursing satisfaction were collected and the monthly telephone follow-up records within six months after the discharge was applied. The enumeration data were tested by chi-square test. Single variance analysis was used for measurement data conforming to normal distribution and homogeneity of variance. Kruskal-Wallistest was used for those whose measurement data did not conform to the normal distribution or variance.

There was no significant difference in age, gender, VAS score, or psychological scoring before admission among the four groups(P>0.05). The pain relief time of the combined group and Sanhuang group was significantly shorter than that of the individual group and the control group (F=31.507, P<0.05), but the hospitalization time of the Sanhuang group was longer. The psychological scoring before discharging of the combined group and the individual group were lower than that of the other two groups (F=4.817, P<0.05). The nursing satisfaction of the combined group and the individual group was significantly better than that of the other two groups (F=23.978, P<0.05). Within six months after discharge, the recurrence rate of gouty arthritis was 16.7% in the combined group, 18.8%in the individual group, significantly lower than 50% in the Sanhuang group, 53.8% in the control group(χ²=8.589, P<0.05). Eight cases of skin allergy occurred during hospitalization, one case in the combined group and seven in the Sanhuanggroup.

Individualized nursing combined with Sanhuang plaster has a positive role in the treatment of gouty arthritis, it is one of the keys to avoid the recurrence of gout arthritis.