个性化健康教育对老年类风湿性关节炎患者关节活动度、遵医嘱行为及睡眠质量的影响  

Effects of Personalized Health Education on Range of Motion,Prescribed Behaviorand Sleep Quality in Elderly Patients with Rheumatoid Arthritis

作　　者：陈霞飞 武丽丽 卢阿芬 李仙丽 CHEN Xiafei;WU Lili;LU Afen;LIxianli(Hematology and Endocrinology Department,the 909th Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army/Southeast Hospital Affiliated to Xiamen University,Zhangzhou 363000,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇九医院/厦门大学附属东南医院血液内分泌科,漳州363000

出　　处：《世界睡眠医学杂志》2023年第12期2906-2908,2912,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨个性化健康教育对老年类风湿性关节炎患者关节活动度、遵医嘱行为及睡眠质量的影响。方法:选取2019年7月至2021年8月中国人民解放军联勤保障部队第九〇九医院/厦门大学附属东南医院内分泌风湿科收治的老年类风湿性关节炎患者82例作为研究对象,按照健康教育方式不同,分为观察组(n=42)和对照组(n=40)。对照组给予常规健康教育,观察组给予个性化健康教育。分析遵医嘱行为,使用类风湿关节炎患者病情评价(DAS28评分)与11点疼痛程度数字等级量表(PI-NRS)评估关节活动度和疼痛度,匹兹堡睡眠质量指数量表(PSQI)评估睡眠质量。结果:2组护理后DAS28评分与PI-NRS评分均较本组护理前降低,且观察组护理后降低更为显著(P<0.05);观察组护理后的总依从性(92.86%)高于对照组(70.00%)(P<0.05);2组护理后PSQI各项评分均较护理前降低,且观察组护理后均低于对照组(P<0.05)。结论:老年类风湿性关节炎患者应用个性化健康教育方式,有利于缓解患者的关节活动度和疼痛度,对患者的遵医嘱行为以及睡眠质量均有着积极的作用和影响。Objective:To investigate the effects of personalized health education on the range of joint motion,doctor′s advice behavior and sleep quality of elderly patients with rheumatoid arthritis.Methods:A total of 82 elderly patients with rheumatoid arthritis admitted to the Department of Endocrinology and Rheumatology of the Southeast Hospital Affiliated to Xiamen University from July 2019 to August 2021 were selected as research objects,according to different education methods,they were divided into the observation group(n=42)and the control group(n=40).The control group received routine health education,and the observation group received personalized health education.Compliance behavior was analyzed,and joint motion degree and pain degree were assessed using the Rheumatoid Arthritis Patient Assessment(DAS28 score)and the 11-point Numerical Pain Rating Scale(PI-NRS),and sleep quality was assessed using the Pittsburgh Sleep Quality Index(PSQI).Results:DAS28 score and PI-NRS score in 2 groups were decreased after nursing,and the decrease was more significant in observation group(P<0.05).The total compliance of observation group(92.86%)was higher than that of control group(70.00%)(P<0.05).PSQI scores of both groups after nursing were lower than before nursing,and the observation group was higher than the control group(P<0.05).Conclusion:The application of personalized health education program in elderly patients with rheumatoid arthritis is beneficial to relieve the range of motion and pain of the patients,and has a positive effect on the patient′s compliance behavior and sleep quality.

关 键 词：个性化健康教育 类风湿性关节炎 关节活动度 遵医嘱行为 睡眠质量 

分 类 号：R593.22[医药卫生—内科学] R338.63[医药卫生—临床医学]