系统性健康教育结合康复指导在类风湿性关节炎患者中的应用价值  

Application value of systematic health education combined with rehabilitation guidance in patients with rheumatoid arthritis

作　　者：王倩[1] 仲君[1] 王秋池[1] WANG Qian;ZHONG Jun;WANG Qiuchi(Northern Jiangsu People's Hospital,Yangzhou,Jiangsu,225002,China)

机构地区：[1]江苏省苏北人民医院,江苏扬州225002

出　　处：《中西医结合护理（中英文）》2024年第5期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探究系统性健康教育结合康复指导策略在类风湿性关节炎患者中的应用价值。方法对2022年1月至2023年1月江苏省苏北人民医院收治的104例类风湿性关节炎患者实施前瞻性研究,按信封法将患者随机分成2组,各52例。对照组实施常规健康教育和护理,观察组实施系统性健康教育结合康复指导策略。对2组的病情恢复情况等进行比较。结果出院3个月后,观察组的关节肿胀数和关节压痛数均比对照组少,晨僵时间比对照组短,双手平均握力和治疗依从性调查表评分均优于对照组(P均<0.05),且2组均优于干预前(P均<0.05)。2组在干预3 d、出院时和出院3个月后的视觉模拟评分法评分均较干预前更低(P均<0.05),观察组在上述时间点的评分均较同期对照组更低(P均<0.05)。出院时和出院3个月后,2组的膝关节损伤及骨性关节炎结果评分调查问卷各项评分均较干预前更高(P均<0.05),且观察组均比同期对照组更高(P均<0.05)。结论系统性健康教育结合康复指导可促进类风湿性关节炎患者病情的好转,改善其膝关节功能和治疗依从性,减轻其疼痛程度。Objective To explore the application value of systematic health education combined with rehabilitation guidance strategies in patients with rheumatoid arthritis.Methods A prospective study was conducted on 104 patients with rheumatoid arthritis admitted to the Northern Jiangsu People's Hospital from January 2022 to January 2023.The patients were randomly divided into two groups using the envelope method,with 52 patients in each group.The control group received routine health education and nursing,while the observation group received systematic health education combined with rehabilitation guidance strategies.The recovery status of the two groups was compared.Results After 3 months of discharge,the number of joint swelling and joint tenderness in the observation group was lower than that in the control group,and the morning stiffness time in the observation group was shorter than that in the control group.The average grip strength of both hands and treatment compliance questionnaire scores of the observation group were higher than those of the control group(all P<0.05).The above indicators in both groups were better than those before intervention(all P<0.05).After 3 days of intervention,at discharge and 3 months after discharge,the Visual Analogue Scale scores of both groups were lower than those before intervention(all P<0.05),and the observation group had lower scores than the control group at the same time point(all P<0.05).At discharge and 3 months after discharge,the scores of the Knee injury and Osteoarthritis Outcome Score Questionnaire in both groups were higher than those before intervention(all P<0.05),and the above scores in the observation group were higher than those in the control group during the same period(all P<0.05).Conclusion Systematic health education combined with rehabilitation guidance can promote the improvement of the condition of rheumatoid arthritis patients,improve their knee joint function and treatment compliance,and alleviate their pain.

关 键 词：类风湿性关节炎 系统性健康教育 康复指导策略 膝关节功能 

分 类 号：R473.5[医药卫生—护理学]