正强化理论的干预联合功能锻炼对类风湿关节炎患者睡眠效果研究
The Effects of Intervention Based on Positive Reinforcement Theory Combined with Functional Exercise on Pain and Sleep in Rheumatoid Arthritis Patients
邹丽梅 1黄秋菊1
作者信息
- 1. 厦门大学附属第一医院风湿免疫科,厦门,361003
- 折叠
摘要
目的:分析对类风湿关节炎患者应用正强化理论的干预联合功能锻炼的作用.方法:选取2022年11月至2023年11月厦门大学附属第一医院收治的类风湿关节炎患者80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40例.对照组实施常规功能锻炼,观察组增加正强化理论的干预.对比2组护理前后疼痛度、关节活动度以及睡眠指标.结果:护理前,2组患者指标比较差异无统计学意义(P＞0.05).护理后观察组疼痛度、关节活动度相较对照组更低,而睡眠指标相较对照组更优,差异有统计学意义(P＜0.05).结论:正强化理论的干预联合功能锻炼对类风湿关节炎患者可解除关节活动受限的情况,改善疾病带来的活动疼痛以及静息疼痛,可促进患者睡眠改善,为机体良好预后创造有利条件.
Abstract
Objective:To analyze the effects of intervention based on positive reinforcement theory combined with functional exer-cise on patients with rheumatoid arthritis.Methods:From November 2022 to November 2022,80 patients with rheumatoid arthritis in the First Affiliated Hospital of Xiamen University were randomly divided into control group(n=40,routine functional exercise)and observation group(n=40,routine functional exercise and positive reinforcement theory-based intervention).The pain degree and joint activity degree,sleep quality and sleep state before and after nursing were compared.Results:After nursing,the scores of Das28 and pain degree in the observation group were lower than those in the control group(p＜0.05).Conclusion:The interven-tion based on positive reinforcement theory combined with functional exercise in patients with rheumatoid arthritis can relieve the limitation of joint activity,improve the activity pain and rest pain caused by the disease,and promote the improvement of sleep quality in patients with rheumatoid arthritis,to create favorable conditions for good prognosis.
关键词
正强化理论的护理/功能锻炼/类风湿关节炎/疼痛度/睡眠/关节/炎性因子/结缔组织病Key words
Nursing based on positive reinforcement theory/Functional exercise/Rheumatoid arthritis/Pain degree/Sleep/Joint/Inflammatory factors/Connective tissue disease引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据