类风湿关节炎患者自我管理模式应用效果  

Application of self-management program in patients with rheumatoid arthritis

作　　者：何国霞[1] 谈文峰[1] 周兰兰[1] 朱晓倩 丁玉[1] 

机构地区：[1]南京医科大学第一附属医院风湿免疫科,江苏南京210029

出　　处：《实用临床医药杂志》2018年第6期54-56,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨自我管理模式在类风湿关节炎(RA)患者中的应用效果。方法采取自我管理项目(CDSMP)使患者对疾病进行自我管理,评估患者12周及24周的健康状况、总体功能、疾病活动性指标、关节肿痛与压痛数、关节疼痛评分。结果患者进行自我管理的12周、24周的健康状况评估问卷、患者总体功能分级表、疾病活动性指标、关节肿痛与压痛数、关节疼痛评分差异有统计学意义(P<0.05)。结论将自我管理模式应用于RA患者中,有利于患者缓解和减少并发症、延缓和恢复关节功能、提高社会活动能力及提高生活质量。Objective To evaluate the effect of self-management program in patients with rheumatoid arthritis（RA）. Methods Self-management of RA patients was performed using a chronic disease self-management program （CDSMP）. The health status, overall function, disease activity in- dex, joint swelling and tenderness, joint pain score were analyzed at 12 and 24 weeks. Results At 12 and 24 weeks, health status, overall function, disease activity index, joint swelling and tenderness, joint pain score showed significant differences in two groups. Conclusion Self-management program may reduce complications, restore joint functions and improve social interactions, and improve quality of life.

关 键 词：自我管理 类风湿关节炎 健康状况 关节肿痛 关节疼痛 

分 类 号：R473.5[医药卫生—护理学]