延续护理对类风湿关节炎患者应用效果的Meta分析  

Meta-analysis of the eff ect of continuing nursing on patients with rheumatoid arthritis

作　　者：龚桃林 云洁[2] 陈艺曦 袁雷 GONG Taolin;YUN Jie;CHEN Yixi;YUAN Lei(Chengdu University of Traditional Chinese Medicine,Chengdu,610072,China)

机构地区：[1]成都中医药大学,四川省成都市610072 [2]成都中医药大学附属医院

出　　处：《护理实践与研究》2022年第21期3288-3292,共5页Nursing Practice and Research

摘　　要：目的系统评价延续护理对类风湿关节炎(RA)患者的应用效果。方法通过检索国内外数据库,查找有关延续护理对类风湿关节炎患者干预效果的随机对照研究,并采用RevMan5.3软件进行统计分析。结果共纳入13篇随机对照研究,包含1206例RA患者,统计分析结果显示,延续护理组患者视觉模拟疼痛(VAS)评分低于对照组(MD=-1.75,95%CI:-2.22~-1.28),晨僵时间短于对照组(MD=-11.24,95%CI:-13.44~-9.04),关节疾病活动度评分(DAS28)低于对照组(MD=-1.32,95%CI:-2.17~-0.47),健康评估问卷(HAQ)评分高于对照组(MD=-0.49,95%CI:-0.61~-0.36),差异均有统计学意义(P<0.05)。结论延续护理模式有助于减轻RA患者的关节疼痛,改善关节功能,提高患者生活质量。Objective To systematically evaluate the application ef fect of continuing nursing in patients with rheumatoid arthritis(RA).Methods By searching home and abroad databases,the randomized controlled studies on the intervention ef fect of continuing care on patients with rheumatoid arthritis were searched,and RevMan 5.3 software was used for statistical analysis.Results A total of 13 randomized controlled studies were included,including 1206 RA patients.The statistical analysis showed that the Visual Analogue Score(VAS)of patients in the continuing nursing group was lower than that in the control group(MD=-1.75,95%CI:-2.22~-1.28),and the morning stif fness time was shorter than that in the control group(MD=-11.24,95%CI:-2.22~-1.28).95%CI:-13.44~-9.04),the joint disease activity score(DAS28)was lower than the control group(MD=-1.32,95%CI:-2.17~-0.47),and the Health Assessment Questionnaire(HAQ)score was higher than the control group(MD=-0.49,95%CI:-0.61~0.36),the dif ferences were statistically signifi cant(P<0.05).Conclusion The continuation nursing model could alleviate the joint pain,improve the joint function and improve the quality of life of patients with RA.

关 键 词：延续护理 类风湿关节炎 META分析 关节疾病活动度 晨僵时间 疼痛 

分 类 号：R473[医药卫生—护理学]