自我管理行为干预在类风湿性关节炎患者中的应用  

Application of self-management behavior intervention in patients with rheumatoid arthritis

作　　者：邓美娟[1] 杨海宝[1] 沈文英 黄晓春[1] 邹玲 DENG Meijuan;YANG Haibao;SHEN Wenying;HUANG Xiaochun;ZOU Ling(Dongguan Tung Wah Hospital of Guangdong,Dongguan 523000,Chin)

机构地区：[1]广东省东莞东华医院,广东东莞523000

出　　处：《中国医药科学》2018年第9期149-151,共3页China Medicine And Pharmacy

摘　　要：目的探究类风湿性关节炎(RA)患者在使用自我管理行为干预后的效果。方法研究对象为2017年2~11月收入的120例RA患者,用随机排列表法分成观察组与对照组,60例观察组采用自我管理行为干预,另60例对照组采用常规行为干预。比较两组患者实施不同干预对生活质量、关节疼痛、护理满意度及肢体功能评分(FMA)的影响。结果观察组在日常生活能力量表(ADL)评分上,显著较低(t=32.751,P<0.05),观察组在生活质量评分(QOL)上,显著较高(t=15.577,P<0.05),观察组视觉模拟评分(VAS)相比对照组,显著较低(t=38.513,P<0.05),而在护理满意度评分上,显著较高(t=8.083,P<0.05),在FMA评分上,观察组显著比对照组高(t=7.758,P<0.05)。结论将自我管理行为干预应用于RA患者时,能改善日常生活,升高护理满意度,减轻关节疼痛,提升生活质量,改善肢体功能,此方法值得应用与推广。Objective To explore the effect of self-management behavior intervention on patients with rheumatoid arthritis（RA）. Methods One hundred and twenty RA patients treated from February 2017 to November 2017 in our hospital were selected.They were divided into observation group and control group by random row table method.60 cases in the observation group were intervened by self-management behavior,and 60 cases in the control group were intervened by routine behavior.The effects of different interventions on quality of life,joint pain,nursing satisfaction and limb function score were compared between the two groups. ResultsThe observation group was significantly lower on the ADL score（t=32.751,P〈0.05）.The observation group was significantly higher on the quality of life scale（QOL）（t=15.577,P〈0.05）.The visual analogue score（VAS） of the observation group was significantly lower than that of the control group（t=38.513,P〈0.05）,while the nursing satisfaction score was significantly higher（t=8.083, P〈0.05）.In the FMA score,the observation group was significantly higher than the control group（t=7.758,P〈0.05）. Conclusion The application of self management behavior intervention to RA patients can improve daily life,increase nursing satisfaction,reduce joint pain,improve the quality of life,and improve limb function.This method is worthy of application and promotion.

关 键 词：类风湿性关节炎 自我管理 行为干预 干预效果 

分 类 号：R473.5[医药卫生—护理学]