关节活动度匹配联合协同家属干预改善类风湿关节炎患者睡眠质量的分析研究

Analysis and Study on Joint Mobility Matching Combined with Collaborative Family Intervention to Improve Sleep Quality in Patients with Rheumatoid Arthritis

宋开雅 ¹黄丽红¹

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作者信息

1. 厦门大学附属第一医院,厦门,361000
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摘要

目的:分析关节活动度匹配联合协同家属干预改善类风湿关节炎患者睡眠质量的影响.方法:选取2022年3月至2023年12月厦门大学附属第一医院风湿免疫科收治的类风湿关节炎患者92例作为研究对象,按照随机数字表法分为对照组和观察组,每组46例.对照组给予常规护理干预,观察组开展关节活动度匹配联合协同家属干预.采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,比较2组患者夜间醒来次数、晨僵时间、关节压痛数、关节肿胀数指标的差异.结果:干预后,观察组PSQI评分显著低于对照组,夜间醒来次数显著低于对照组,观察组晨僵时间、关节压痛数、关节肿胀数显著低于对照组,差异均有统计学意义(均P＜0.05).结论:在对RA患者干预时开展关节活动度匹配联合协同家属干预,可以促进患者的康复进程,提升患者的睡眠质量及自护能力,降低患者夜间醒来次数,值得临床推广应用.

Abstract

Objective:To analyze the effect of joint activity matching and collaborative family intervention on improving sleep quality in patients with rheumatoid arthritis.Methods:A total of 92 patients with rheumatoid arthritis admitted to the Rheumatolo-gy and Immunology Department of Xiamen University Affiliated First Hospital from March 2022 to December 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 46 cases in each group,u-sing a random number table method.The control group received routine nursing intervention,while the observation group received joint range of motion matching combined with collaborative family intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention,and to compare the differences in indicators such as the number of nighttime awakenings,morning stiffness,joint tenderness,and joint swelling be-tween the two groups of patients.Results:After intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the number of awakenings at night was significantly lower than that of the control group.The time of morning stiffness,joint tenderness,and joint swelling in the observation group were significantly lower than those in the control group,and the differences between the two groups were statistically significant(P＜0.05).Conclusion:Joint activity matching combined with collaborative family intervention can promote the rehabilitation process of RA patients,improve their sleep quality and self-care ability,reduce the number of nighttime awakenings,and is worthy of clinical promotion and application.

关键词

关节活动度匹配/协同家属/类风湿关节炎/康复/睡眠质量/夜间醒来次数/自护能力/关节压痛数

Key words

Joint mobility matching/Collaborate with family members/Rheumatoid arthritis/Rehabilitation/Sleep quality/Number of awakenings at night/Self care ability/Joint tenderness count

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出版年

2024

世界睡眠医学杂志

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参考文献量20

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