| 褚强强,夏光云,董文红,等.类风湿关节炎出院病人门诊非药物干预效果评价[J].安徽医药,2019,23(5):925-928. |
| 类风湿关节炎出院病人门诊非药物干预效果评价 |
| Evaluation on effect of outpatient non-drug intervention in patients discharged with rheumatoid arthritis |
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| DOI：10.3969/j.issn.1009-6469.2019.05.023 |
| 中文关键词: 关节炎,类风湿 出院后医疗 家庭医疗保健服务,基于医院的 健康教育 运动疗法 |
| 英文关键词: Arthritis,rheumatoid After care Home care services,hospital-based Health education Exercise therapy |
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| 中文摘要: |
| 目的 评价类风湿关节炎(RA)出院病人门诊非药物干预效果,为临床综合治疗RA提供依据。方法 筛选出RA出院病人42例,通过随机编码表法分为干预组和对照组。对干预组实施1年的健康教育、心理疏导、关节功能锻炼指导、药物督导治疗等门诊干预措施,对照组仅在就诊时给予口头宣教,嘱定期随访,不做其他特殊干预。通过比较两组病人晨僵、握力、关节压痛数、关节肿胀数等临床症状改善情况以及红细胞沉降率(ESR)、C反应蛋白(CRP)等血清学检测指标变化,对干预结果进行评价。结果 经过1年的干预治疗后,干预组病人平均定期随访率达91.27%,明显高于对照组的74.60%([P]＜0.05);干预组晨僵时间(0.88±1.00) h,低于对照组的(1.38±1.52) h,但差异无统计学意义(P＞0.05);干预组握力(67.52±17.64) mmHg,明显高于对照组(50.33±17.72) mmHg([P]＜0.05);干预组关节压痛数(8.67±6.37)个;明显低于对照组(15.24±7.71)个([P]＜0.05);干预组关节肿胀数(4.95±6.18)个,明显低于对照组(11.24±7.68)个([P]＜0.05);干预组干预后平均ESR、CRP分别为(21.33±7.28) mm/h、(13.55±6.12) mg/L,均明显低于对照组的(29.57±10.87) mm/h、(22.48±12.13) mg/L([P]＜0.05)。结论 对出院病人实施1年的门诊非药物干预后,有效提高了病人对RA的知晓率,提高RA的控制率,明显改善病人生活质量。 |
| 英文摘要: |
| Objective To evaluate the effect of outpatient non-drug intervention in discharged patients with rheumatoid arthritis (RA),to provide the basis for clinical comprehensive treatment of RA.Methods Forty-two discharged patients with RA were selected and randomly divided into intervention group and control group.The intervention group was implemented one-year outpatient intervention measures in terms of health education,psychological counseling,joint functional exercise guidance,and drug supervision as well as treatment.The control group was given oral education at the time of consultation,and was followed regularly without any other special intervention.By comparing the improvement of clinical symptoms between the two groups such as morning stiffness,grip strength,joint tenderness and joint swelling number,as well as the changes in serum indexes of erythrocyte sedimentation rate (ESR),C-reactive protein (CRP).Then evaluate the intervention results.Results After one year of intervention,the average regular follow-up rate of the intervention group was 91.27%,which was significantly higher than 74.60% of the control group ([P]＜0.05).The morning stiffness time of the intervention group was (0.88±1.00) h,which was lower than (1.38±1.52) h of the control group,but there was no significant difference between the two groups ([P]＞0.05).The grip strength of the intervention was (67.52±17.64)mmHg,which was significantly higher than (50.33±17.72)mmHg of the control group([P]＜0.05);The joint tenderness number of the intervention group was (8.67±6.37),which was significantly lower than (15.24±7.71)of the control group ([P]＜0.05); The joint swelling number of the intervention group was(4.95±6.18),which was significantly lower than(11.24±7.68)of the control group ([P]＜0.05);The average ESR and CRP of the intervention group were(21.33±7.28)mm/h,(13.55±6.12)mg/L,which were significantly lower than(29.57±10.87)mm/h,(22.48±12.13)mg/L of the control group([P]＜0.05).Conclusion After one-year outpatient non-drug intervention in patients discharged with rheumatoid arthritis,the awareness and the control rates of RA were effectively improved,and the quality of life was also significantly improved. |
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