基于正强化理论的护理干预对类风湿关节炎患者关节活动度及主观疼痛感的影响  

Effect of Nursing Intervention Based on Positive Reinforcement Theory on Joint Range of Motion and Subjective Pain Perception in Patients with Rheumatoid Arthritis

作　　者：冷秀芳 LENG Xiufang(Department of Rheumatology and Immunology,Zunyi First People's Hospital,Zunyi 563000,China)

机构地区：[1]遵义市第一人民医院风湿免疫科,贵州遵义563000

出　　处：《中国医学创新》2025年第12期98-102,共5页Medical Innovation of China

摘　　要：目的:探究基于正强化理论的护理干预对类风湿关节炎(RA)患者关节活动度及主观疼痛感的影响。方法:选取2023年12月—2024年9月在遵义市第一人民医院治疗的200例RA患者,依照随机数字表法分为两组,各100例。对照组采取常规护理干预,观察组采取基于正强化理论的护理干预。连续干预2个月,比较两组关节活动度、主观疼痛感、疾病活动度和生活质量。结果:干预后,两组关节活动范围(ROM)、视觉模拟评分法(VAS)评分、疾病活动度(DAS28)评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组世界卫生组织生活质量测定量表(WHOQOL-BREF)各项评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:RA患者采取基于正强化理论的护理干预,能有效改善关节活动度,减轻关节疼痛,提升生活质量。Objective:To explore the effects of nursing intervention based on positive reinforcement theory on joint range of motion and subjective pain perception in patients with rheumatoid arthritis(RA).Method:A total of 200 patients with RA treated in Zunyi First People's Hospital from December 2023 to September 2024 were selected and divided into two groups according to random number table method,with 100 patients in each group.The control group received routine nursing intervention,and the observation group received nursing intervention based on positive reinforcement theory.After 2 months of continuous intervention,joint range of motion,subjective pain perception,disease activity and quality of life between the two groups were compared.Result:After intervention,joint range of motion(ROM),visual analogue scale(VAS)scores and disease activity score 28(DAS28)scores in both groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of the World Health Organization quality of life scale(WHOQOL-BREF)in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Nursing intervention based on positive reinforcement theory for RA patients can effectively improve joint range of motion,reduce joint pain and improve quality of life.

关 键 词：类风湿关节炎 正强化理论 关节活动度 疼痛 生活质量 

分 类 号：R473.5[医药卫生—护理学]