老年膝骨关节炎患者自我管理的社区干预模式及效果分析  

Effects of Self-management Program for Old Patients with Knee Osteoarthritis in Community

作　　者：汪凤兰[1] 董胜莲[1] 邢凤梅[1] 孙玉倩[1] 邓荣悦[1] 景丽伟[1] 吴庆文[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山市063000

出　　处：《中国康复理论与实践》2014年第12期1184-1187,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家社会科学基金项目(No.13BRK005)

摘　　要：目的设计并实施膝关节骨关节炎（KOA）自我管理干预模式,探讨其对患者关节功能及生活质量的影响。方法 2011年10月~2012年4月抽取与唐山市老年人口比例匹配的两个社区,对自愿参加的老年KOA患者按社区分为干预组（n=50）和对照组（n=50）。干预组接受专业设计的KOA自我管理课程,每次1.5~2 h,每周1次,共6次。对照组发放膝骨关节炎自我管理手册。6个月后采用骨关节炎指数评估表（WOMAC）、关节炎生活质量测量问卷（AIMS2-SF）、自行设计的一般情况调查表进行调查。结果干预后,干预组WOMAC评分下降,干预前后下降值优于对照组（P〈0.05）;AIMS2-SF评分提高,提高值优于对照组（P〈0.05）。结论KOA自我管理项目能有效改善患者的关节功能及症状,提高患者的生活质量。Objective To study the effects of self-management of knee osteoarthritis（KOA） on the function and quality of life in old patients. Methods From October 2011 to April 2012, 100 patients with KOA from 2 communities in Tangshan, Hebei were recruited, and were as control group and intervention group based on the community. The intervention group learned a KOA self- management course, which consisted of 6 classes of 1.5 to 2 hours, once a week, taught by health professionals. The control group read the KOA self-management handbook only. They were measured with the Western Ontario and Mc Master Universities Osteoarthritis Index（WOMAC） and Arthritis Impact Measurement Scale 2nd version- Short Form（AIMS2- SF） before and 6 months after intervention. Results The score of WOMAC and AIMS2-SF improved more in the intervention group than in the control group（P〈0.05）. Conclusion The KOA self-management program is effective on function and quality of life in old patients with KOA in community.

关 键 词：膝骨关节炎 老年人 自我管理 社区康复 生活质量 

分 类 号：R684.3[医药卫生—骨科学]