类风湿性关节炎继发骨质疏松症患者的生命质量调查及慢性病管理  

Quality of life of patients with osteoporosis secondary to rheumatoid arthritis and management of chronic diseases

作　　者：陈宇航[1] 庄宇[1] 叶石保 王志文[1] 辛盼盼[1] 吕志芬[1] 张雪珍[1] 谭志明[1] CHEN Yuhang ZHUANG Yu YE Shibao WANG Zhiwen XIN Panpan LV Zhifen ZHANG Xuezhen TAN Zhiming(The Center People＇ s Hospital of Huizhou City, Huizhou 516001, China)

机构地区：[1]惠州市中心人民医院,广东惠州516001

出　　处：《中国骨质疏松杂志》2017年第9期1187-1190,1203,共5页Chinese Journal of Osteoporosis

摘　　要：目的调查类风湿性关节炎继发骨质疏松症患者的生命质量,及考察采用慢性病管理的干预效果。方法纳入2013年8月至2016年2月我院风湿科治疗的类风湿性关节炎继发骨质疏松症患者158例作为研究对象。随机分为对照组76例与观察组76例。对照组予常规抗骨质疏松治疗,观察组在常规抗骨质疏松治疗基础上予慢性病管理。通过比较两组患者的类风湿性关节炎的类风湿因子血沉、C反应蛋白以及1年后复查骨密度情况。采用满意度调查以及视觉模拟评分法(VAS)评价患者慢性病管理质量及疼痛情况。结果干预前,两组骨质疏松及类风湿性关节炎观察指标无统计学差异性(P>0.05);观察组干预后指标明显优于对照组;1年后复查骨密度,对照组骨质疏松患者明显多于观察组(P<0.05)。干预后,观察组患者疼痛评分明显低于对照组(P<0.05),观察组患者的慢性病管理效果优于对照组(P<0.05)。结论应用慢性病管理模式干预类风湿性关节炎继发骨质疏松症患者后,能有效减少关节疼痛,改善骨质疏松及类风湿性关节炎各项指标值,提高了患者的整体生命质量,值得临床广泛推广。Objective To investigate the quality of life of patients with osteoporosis secondary to arthritis,and to investigate the intervention effect of chronic disease management. Methods A total of 158 patients with osteoporosis secondary to rheumatoid arthritis treated in our hospital from August 2013 to February 2016 were included in the study. The patients were divided into control group（ 76 cases） and observation group（ 76 cases）. Patients in the control group received routine intervention. Patients in the observation group received chronic disease management on the basis of the control group. Erythrocyte sedimentation rate,C-reactive protein,and bone mineral density were compared between the two groups in 1 year. Satisfaction survey and visual analogue scale（ VAS） were used to evaluate the quality of chronic disease and pain. Results There was no significant difference in rheumatoid arthritis parameters between the two groups before the intervention（ P〈0. 05）. The index in the observation group was better than that in the control group. The number of osteoporosis patients in the control group were more than that in the observation group in 1year. After the intervention,the pain score in the observation group was significantly lower than that in the control group（ P〈0. 05）. The effect of chronic disease management in patients in the observation group was better than that in the control group（ P〈0. 05）. Conclusion The use of chronic disease management model in patients with osteoporosis secondary to arthritis can effectively reduce joint pain,relieve the indicators of osteoporosis and arthritis,improve the overall quality of life of the patients,and is worthy of wide clinical promotion.

关 键 词：类风湿性关节炎 继发骨质疏松症 慢性病管理 视觉模拟评分法 

分 类 号：R58[医药卫生—内分泌]