首页|类风湿关节炎患者药物治疗期间应用全面性-合作性-协调性-延续性护理干预策略的效果观察

类风湿关节炎患者药物治疗期间应用全面性-合作性-协调性-延续性护理干预策略的效果观察

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目的:探讨全面性-合作性-协调性-延续性的护理干预策略对类风湿关节炎(RA)患者服药依从性及生活质量的影响.方法:选取 2020 年 1 月—2022 年 1 月本院收治的 106 例RA患者作为研究对象,采用随机抽签法分为对照组(n=53)和观察组(n=53),对照组给予常规护理,观察组在对照组基础上给予全面性-合作性-协调性-延续性的护理干预策略,比较两组出院后 2 个月服药依从性及入院、出院当天、出院后 2 个月心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、视觉模拟法(VAS)、关节活动度(ROM)、类风湿关节炎自我效能量表(RASE)、生活质量综合评定问卷(GQOLI-74)评分.结果:观察组服药总依从率、ROM、RASE、GQOLI-74 评分高于对照组,SAS、SDS、VAS评分低于对照组(P<0.05).结论:全面性-合作性-协调性-延续性的护理干预策略应用于RA患者,能提高服药依从性,减轻疼痛,改善关节活动情况,改善负性情绪,提升自我管理效能及生活质量.
Observation on the Effect of Comprehensive-Cooperative-Coordination-Continuity Nursing Intervention Strategy in Patients with Rheumatoid Arthritis During Drug Treatment
Objective:To explore the effect of comprehensive-cooperative-coordination-continuity nursing intervention strategy on medication compliance and quality of life in patients with rheumatoid arthritis(RA).Methods:A total of 106 RA patients admitted to our hospital from January 2020 to January 2022 were selected and divided into control group and observation group by random drawing method,with 53 patients in each group.The control group was given routine nursing,and the observation group was given comprehensive-cooperative-coordination-continuity nursing intervention strategy on the basis of the control group.The medication compliance at 2 months after discharge and the psychological status at admission,discharge day and 2 months after discharge[Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)score],Visual Analogue Scale(VAS),range of motion(ROM),Rheumatoid Arthritis Self-Efficacy Scale(RASE),Generic Quality of Life Inventory-74(GQOLI-74)score were compared between the two groups.Results:The total medication compliance rate,ROM,RASE and GQOLI-74 scores in the observation group were higher than those in the control group,and SAS,SDS and VAS scores were lower than those in the control group(P<0.05).Conclusion:The comprehensive-cooperative-coordination-continuity nursing intervention strategy can improve medication compliance,relieve pain,improve joint activity,improve negative emotions,and improve self-management efficacy and quality of life in RA patients.

ComprehensivenessContinuous nursing interventionRheumatoid arthritisMedication complianceQuality of life

耿晓墁、朱丽娟

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郑州大学附属郑州中心医院风湿免疫、疼痛科病区,河南 郑州 450000

全面性 延续性护理干预 类风湿关节炎 服药依从性 生活质量

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(3)
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