基于保护动机理论的护理干预联合微信延续性护理在类风湿性关节炎患者中的应用效果  

Application of Nursing Intervention Based on Protective Motivation Theory Combined with WeChat Continuity Nursing in Patients with Rheumatoid Arthritis

作　　者：马丽华 MA Lihua(Rheumatology,Xiamen Traditional Chinese Medicine Hospital,Xiamen,Fujjian 361000,China)

机构地区：[1]厦门市中医院风湿科,福建厦门361000

出　　处：《中国医药指南》2025年第2期181-184,共4页Guide of China Medicine

摘　　要：目的分析类风湿性关节炎(RA)患者接受基于保护动机理论的护理干预联合微信延续性护理的临床价值。方法选取2023年6月至2024年2月厦门市中医院诊治的RA患者中抽取符合纳入与排除条件的80例作为观察对象,分组方法为随机数字表法,共两组(对照组与观察组),每组40例。两组均接受常规对症治疗,在此基础上,对照组实施常规护理,观察组实施常规护理加基于保护动机理论的护理干预联合微信延续性护理。对比两组自我管理能力[慢性病自我管理行为量表(CDSMS)]、自我效能感[关节炎自我效能感量表-8(ASES-8)]、用药依从性[Morisky用药依从性量表(MMAS-8)]、疾病活动度[疾病活动度评分28评分(DAS28)]及血清因子[红细胞沉降率(ESR)、类风湿因子(RF)、C反应蛋白(CRP)]。结果出院3个月后,CDSMS中各维度评分对比,观察组评分更高(P<0.05)。出院时和出院3个月后,与对照组相比,观察组ASES-8评分更高(P<0.05)。出院3个月后,观察组的用药依从率为95.00%(38/40),高于对照组的77.50%(31/40)(P<0.05)。出院时和出院3个月后,观察组DAS28评分较对照组低(P<0.05)。出院3个月后,观察组ESR、RF和CRP水平均较对照组低(P<0.05)。结论RA患者接受基于保护动机理论的护理干预联合微信延续性护理能够加强其出院居家期间的自我效能,改善其自我管理能力,提高依从性,进而降低类风湿相关血清水平和疾病活动度,促进病情康复。Objective To analyze the clinical value of nursing intervention based on the Protection Motivation Theory combined with WeChat continuity care in patients with rheumatoid arthritis.Methods From the RA patients treated in Xiamen Hospital of Traditional Chinese Medicine from June 2023 to February 2024,80 cases eligible for inclusion and exclusion were selected as observation objects.The grouping method was random number table method,including two groups(control group and observation group),and 40 cases in each group.Both groups received conventional symptomatic treatment,and on this basis,the control group implemented routine nursing,while the observation group implemented routine nursing plus nursing intervention based on the Protection Motivation Theory combined with WeChat continuity care.The self-management ability[Chronic Disease Self-Management Behavior Scale(CDSMS)],self-efficacy[Arthritis Self-Efficacy Scale-8(ASES-8)],medication adherence[Morisky Medication Adherence Scale(MMAS-8)],disease activity[Disease Activity Score 28(DAS28)],and serum factors[erythrocyte sedimentation rate(ESR),rheumatoid factor(RF),C-reactive protein(CRP)]were compared between the two groups.Results Three months after discharge,the scores of the dimensions in the CDSMS were higher in the observation group(P<0.05).At discharge and three months after discharge,the ASES-8 scores of the observation group were higher compared to the control group(P<0.05).Three months after discharge,the medication adherence rate of the observation group was 95.00%(38/40),higher than the control group’s 77.50%(31/40)(P<0.05).The DAS28 scores of the observation group were lower than those of the control group at discharge and three months after discharge(P<0.05).Three months after discharge,the levels of ESR,RF,and CRP in the observation group were lower than those in the control group(P<0.05).Conclusions Patients with rheumatoid arthritis receiving nursing intervention based on the protective motivation theory combined with WeChat continuation care can

关 键 词：类风湿性关节炎 基于保护动机理论的护理干预 延续性护理 

分 类 号：R593.22[医药卫生—内科学] R473.5[医药卫生—临床医学]