Objective To analyze the value of problem-oriented intervention under positive reinforcement theory in micropump injection drug therapy for rheumatoid arthritis patients.Methods From September 2020 to September 2023,a total of 86 patients with rheumatoid arthritis were selected from the First Affiliated Hospital of Xiamen University to receive micropump injection drug therapy,and were divided into a control group and an observation group according to random ball-touch method,with 43 cases in each group.The control group received routine nursing,and the observation group received problem-oriented intervention under positive reinforcement theory.The symptom improvement,pain degree,disease activity,self-management behavior and serum immunological indexes were compared between the two groups.Results After intervention,the joint swelling index and joint tenderness index of the observation group were lower than those in the control group,and the morning stiffness time was shorter than that in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of disease activity score 28(DAS28)and numerical rating scale(NRS)in the observation group were lower than those in the control group,and the scores of chronic disease self-management behavior scale was higher than that in the control group,with statistical significance(P<0.05).After intervention,the levels of serum immunoglobulin(Ig)A and IgM in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Problem-oriented intervention under positive reinforcement theory in micropump injection drug therapy for rheumatoid arthritis patients can promote symptoms and pain relief,reduce disease activity,improve self-management behavior,and improve serum immunological indicators.
关键词
类风湿性关节炎/微量泵注射药物治疗/正强化理论/问题导向干预
Key words
Rheumatoid arthritis/Micropump injection drug therapy/Positive reinforcement theory/Problem-oriented intervention
维普
万方数据