基于App的疾病自我评估在类风湿关节炎患者中的应用  

Application of App-based disease self-assessment in patients with rheumatoid arthritis

作　　者：周兰兰[1] 张缪佳[1] 丁金[1] 谈文峰[1] 梅培培[1] 魏华 林征[3] ZHOU Lanlan;ZHANG Miujia;DING Jin;TAN Wenfeng;MEI Peipei;WEI Hua;LIN Zheng(Department of Rheumatology,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029;Department of Rheumatology,the Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu,225001;Department of Gastroenterology,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院风湿科,江苏南京210029 [2]扬州大学附属医院风湿科,江苏扬州225001 [3]南京医科大学第一附属医院消化科,江苏南京210029

出　　处：《实用临床医药杂志》2021年第17期7-10,14,共5页Journal of Clinical Medicine in Practice

基　　金：2020年国家自然科学基金面上项目(82071827);江苏省人民医院2020临床能力提升工程(JSPH-NC-2020-20)。

摘　　要：目的探讨基于App的疾病自我评估对类风湿关节炎患者疾病活动度的影响。方法将风湿免疫科门诊就诊的类风湿关节炎患者119例纳入本研究,采用中心化随机分组并剔除失访者后最终纳入110例患者,其中实验组56例,对照组54例。实验组使用智能疾病管理系统(SSDM)进行疾病评估管理,对照组进行常规医疗随访。分别于基线期及24周后对患者进行病情评估,比较2组患者病情活动度。结果经24周治疗后,2组疾病活动度评分(DAS28)、关节疼痛数量、健康评估问卷(HAQ)评分、血沉改善程度比较,差异有统计学意义(P<0.05),但2组简明生活质量量表(SF-36)评分比较,差异无统计学意义(P>0.05)。结论基于App的疾病自我评估有利于类风湿关节炎患者的病情控制,有利于患者关节功能改善和生活质量的提高,对患者疾病结局有积极意义。Objective To explore the effect of App-based disease self-assessment on disease activity of patients with rheumatoid arthritis.Methods A total of 119 patients with rheumatoid arthritis in rheumatology outpatient department were enrolled in this study.A total of 110 patients were included after centralized randomization and exclusion of lost visitors,including 56 patients in the experimental group and 54 patients in the control group.Patients in the experimental group received self-assessment and management with Smart System of Disease Management(SSDM)for disease assessment management,while patients in the control group received routine follow-up.The disease conditions of all the patients were assessed at baseline time and 24 weeks after treatment.Results At 24 weeks after treatment,28-joint Disease Activity Score(DAS28),the number of joint pain,the Health Assessment Questionnaire(HAQ)score,and the improvement of erythrocyte sedimentation rate in two groups showed significant differences(P<0.05).However,there was no significant difference in 36-Item Short-Form Health Survey(SF-36)score between the two groups(P>0.05).Conclusion App-based disease self-assessment is beneficial to the disease control,improvement of body function and quality of life in patients with rheumatoid arthritis.It has positive significance to the disease outcome of patients.

关 键 词：APP 疾病自我评估 类风湿关节炎 疾病活动度 

分 类 号：R593.33[医药卫生—内科学] R322.7[医药卫生—临床医学]