基于社会支持系统护理对类风湿性关节炎生活质量、自我护理能力的影响  

Effects of social support system-based care on quality of life and self-care ability in rheumatoid arthritis

作　　者：蔡锐美 方晓娟 林艺婉 张秋婷 林晓遹 CAI Rui-Mei;FANG Xiao-Juan;LIN Yi-Wan(Department of Haematology and Rheumatology,The Second Affiliated Hospital of Xiamen Medical College,Xiamen 361000,Fujian,China)

机构地区：[1]厦门医学院附属第二医院血液风湿免疫科,福建厦门361000

出　　处：《吉林医学》2024年第10期2532-2536,共5页Jilin Medical Journal

基　　金：福建省自然科学基金项目[项目编号:2019J01349]。

摘　　要：目的:分析基于社会支持系统护理对类风湿性关节炎患者生活质量及自我护理能力的影响。方法:选取厦门医学院附属第二医院于2022年3月~2023年2月收治的类风湿性关节炎患者108例为研究对象,将患者随机分为两组,分为对照组和研究组,每组各54例。其中,对照组行常规护理,研究组在此基础上加用基于社会支持系统护理。比较两组患者护理前后生活质量及自我护理能力。结果:护理前,两组得分差异无统计学意义(P>0.05);基于社会支持系统护理后,代表生活质量和自我护理能力的SF-36量表和自我护理能力测定表(ESCA),两组评分均高于护理前,其中研究组在SF-36量表中八个维度得分均高于对照组,差异有统计学意义(P<0.05),且ESCA四个维度得分及总分也均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施基于社会支持系统护理,可改善患者生活质量,并且提高患者自我护理能力。Objective To analyze the effects of nursing intervention based on social support system on quality of life and self-care ability of patients with rheumatoid arthritis.Method A total of 108 patients with rheumatoid arthritis admitted to the Second Affiliated Hospital of Xiamen Medical College from March 2022 to February 2023 were selected as the study objects,and these 108 patients were randomly divided into two groups,namely control group and study group,with 54 cases in each group.Among them,the control group received routine nursing,on this basis,the study group added social support system based nursing.The quality of life and self-care ability before and after nursing were compared between the two groups.Results Before nursing,there was no significant difference in scores between the two groups(P>0.05).Based on social support system care,the scores of SF-36 scale and self-care ability(ESCA),which represent quality of life and self-care ability,were higher in both groups than before care,and the scores of eight dimensions of SF-36 scale in the study group were higher than those in the control group(P<0.05).The four dimensions of ESCA score and total score were higher than those of control group(P<0.05).Conclusion The implementation of social support system nursing on the basis of routine nursing can improve patients'quality of life and enhance patients'self-care ability.

关 键 词：社会支持系统 护理 类风湿性关节炎 生活质量 自我护理能力 

分 类 号：R473.5[医药卫生—护理学]