慢病管理模式对类风湿关节炎患者用药依从性的影响  

Effect of Chronic Disease Management Model on Medication Compliance in Patients With Rheumatoid Arthritis

作　　者：黄招玲[1] 邱雅虹 林良婷 HUANG Zhaoling;QIU Yahong;LIN Liangting(Department of Rheumatology and Immunology,the Second Affiliated Hospital of Fujian Medical University,Quanzhou Fujian 362000,China)

机构地区：[1]福建医科大学附属第二医院风湿免疫科,福建泉州362000

出　　处：《中国卫生标准管理》2025年第5期195-198,共4页China Health Standard Management

摘　　要：目的分析慢病管理模式在类风湿关节炎患者管理中的应用价值,及对用药依从性的影响。方法选取2023年2—12月福建医科大学附属第二医院风湿免疫科收治的类风湿关节炎患者87例作为观察对象,根据红绿双色球摸球法将其分为观察组和对照组,观察组44例采取慢病管理模式,对照组43例采取常规管理模式,比较2组管理后用药依从性、临床症状(晨僵、肿胀、功能障碍)评分,分析2组管理前后生活质量。结果管理后,观察组用药总依从率为95.5%,高于对照组的81.4%,差异有统计学意义(P<0.05);观察组晨僵、肿胀及功能障碍症状评分分别为(5.62±0.23)分、(4.72±0.23)分、(4.41±0.23)分,低于对照组的(7.24±0.31)分、(6.39±0.53)分、(5.51±0.34)分,差异均有统计学意义(P<0.05)。管理前,2组患者的简明健康状况问卷(36-item short form health survey,SF-36)量表各维度评分比较差异均无统计学意义(P>0.05);管理后,观察组生理功能、心理健康、社会功能、总体健康评分分别为(85.64±11.57)分、(85.16±11.57)分、(83.26±13.64)分、(85.41±13.61)分,高于对照组的(77.41±12.39)分、(76.29±11.74)分、(71.64±14.12)分、(71.46±13.74)分,差异均有统计学意义(P<0.05)。结论慢病管理模式可提高类风湿关节炎患者用药依从性,从而缓解疾病症状,提高生活质量,管理效果显著。Objective To analyze the application value of chronic disease management model in the management of patients with rheumatoid arthritis and its influence on medication compliance.Methods Eighty-seven patients with rheumatoid arthritis admitted to the department of rheumatology and immunology of the Second Affiliated Hospital of Fujian Medical University from February to December 2023 were selected as the observation subjects.They were divided into an observation group and a control group according to the red green color ball method. The observation group of 44 cases adopted chronic disease management model, while the control group of 43 cases adopted routine management model. The medication compliance and clinical symptom (morning stiffness, swelling and dysfunction) scores after management were compared between the two groups, and the quality of life before and after management was analyzed. Results After management, the total medication compliance rate of the observation group was 95.5%, which was higher than the control group's 81.4%, and the difference was statistically significant (P < 0.05);the symptom scores of morning stiffness, swelling, and functional impairment in the observation group were (5.62±0.23) points, (4.72±0.23) points, and (4.41±0.23) points, respectively, which were lower than those in the control group (7.24±0.31) points, (6.39±0.53) points, and (5.51±0.34) points, and the differences were statistically significant (P < 0.05). Before management, there were no statistically significant differences in the scores of each dimension of the 36-item short form health survey (SF-36) between the two groups of patients (P > 0.05);after management, the physiological function, psychological health, social function, and overall health scores of the observation group were (85.64±11.57) points, (85.16±11.57) points, (83.26±13.64) points, and (85.41±13.61) points, respectively, which were higher than those of the control group (77.41±12.39) points, (76.29±11.74) points, (71.64±14.12) points, a

关 键 词：慢病管理 类风湿关节炎 用药依从性 生活质量 症状改善 管理效果 

分 类 号：R473[医药卫生—护理学]