专科-社康序贯治疗改善类风湿关节炎患者生活质量的研究  

Study on Improving the Life Quality of Patients with Rheumatoid Arthritis by Specialty-social Health Sequential Treatment

作　　者：郭粉莲 蔡旭 黄映华 肖剑伟 叶志中 GUO Fen-lian;CAI Xu;HUANG Ying-hua;XIAO Jian-wei;YE Zhi-zhong

机构地区：[1]深圳市福田区风湿病专科医院

出　　处：《风湿病与关节炎》2019年第8期18-20,29,共4页Rheumatism and Arthritis

基　　金：深圳市科技研发项目（JCYJ20140416094330206）;深圳市医疗卫生三名工程（SZSM201602087）;深圳市医学重点学科建设资助项目（2005C10）

摘　　要：目的:探讨专科-社康序贯治疗对类风湿关节炎患者生活质量的影响。方法:将160例类风湿关节炎患者按照随机数字表法分为治疗组和对照组,每组80例。对照组接受专科常规出院指导及随访,治疗组在常规出院指导及随访基础上,制定并实施专科-社康序贯治疗措施。2组患者入组时采用MOS SF-36量表对生活质量进行初评,入组12个月后再次测评。结果:共3例失访,其中治疗组2例,对照组1例;其余157例均获随访,随访时间为12个月。治疗组在实施专科-社康序贯治疗措施下,其生理功能、生理职能、身体疼痛、总体健康、社会功能、情感职能评分较治疗前显著改善(P <0.05),且以上指标及精神健康、健康变化评分均优于对照组(P <0.05)。结论:专科-社康序贯治疗可以明显改善类风湿关节炎患者的生活质量。Objective:To explore the effect of specialty-social health sequential treatment on the life quality of patients with rheumatoid arthritis.Methods:One hundred and sixty patients with rheumatoid arthritis were randomly divided into a treatment group and a control group,80 cases in each group.The control group was given routine discharging guidance and followed up,while the treatment group was given the specialty-social health sequential treatment based the routine discharging guidance and follow-up.The life quality of patients was evaluated by MOS SF-36 scale at the time of admission,and was evaluated again after 12 months.Results:Except3 cases(2 in the treatment group and 1 in the control group),157 cases were followed up for 12 months.After giving the specialty-social health sequential treatment,the scores of physiological function,physical pain,general health,social function and emotional function in the treatment group were significantly improved compared with those before treatment(P < 0.05),and the above indexes,mental health and health change scores were better than those in the control group(P < 0.05).Conclusion:Specialty-social health sequential treatment can significantly improve the quality of life of patients with rheumatoid arthritis.

关 键 词：关节炎 类风湿 社康 序贯治疗 生活质量 

分 类 号：R593.22[医药卫生—内科学]