摘要
目的 探讨个性化护理干预对类风湿关节炎患者遵医行为的影响. 方法 将60例类风湿关节炎患者随机分为观察组30例和对照组30例. 对照组给予常规药物治疗和专科护理,观察组在此基础上建立个人档案,实施个性化护理干预. 观察两组患者在干预前、后的康复情况和遵医行为,以美国风湿病学会（ ACR ）疗效评价指标作为评价标准进行对比分析. 结果 护理干预12 周后,观察组ACR20改善程度优于对照组,差异有统计学意义（χ2 =4. 344,P〈0. 05）;观察组晨僵持续时间、关节肿胀和压痛情况,均较对照组改善,差异有统计学意义（t值分别为-4. 524,-8. 283,-5. 842;P〈0. 01）;两组遵医行为比较差异有统计学意义（χ2 =10. 76,P〈0. 05）. 结论 对类风湿关节炎患者实施个性化护理干预可有效提高患者遵医行为和临床疗效.
Objective To explore the impacts of the personalized nursing interventions on medical compliance of patients with rheumatoid arthritis （ RA） . Methods A total of 60 patients with RA were randomly classified into experimental group （ 30 cases ） and control group （ 30 cases ） . The patients of control group received routine medicine treatment and specialist nursing care. In the experimental group, personal profiles were established and all patients of the experimental group applied personalized nursing interventions based on control group. The rehabilitation status and medical compliance were observed before and after interventions in two groups, and treatment efficacy was evaluated by American College of Rheumatology （ ACR） and compared and analyzed between two groups. Results After 12 weeks nursing interventions, the improvement of ACR20 in the experimental group was better than that of the control group （χ2 =4. 344, P 〈0. 05 ）; early morning stiffness, joint swelling and tenderness of the experimental group ameliorated compared with the control group （t= -4. 524,-8. 283,-5. 842;P〈0. 01）; the difference of medical compliance was statistical significant between two groups （χ2 =10. 76,P 〈 0. 05）. Conclusions For patients with RA, personalized nursing interventions can effectively improve their medical compliance and clinical efficacy.
出处
《中华现代护理杂志》
2015年第31期3741-3744,共4页
Chinese Journal of Modern Nursing
基金
江苏省医学重点人才基金（RC2007029）
关键词
关节炎
类风湿
个性化护理干预
遵医行为
Arthritis
rheumatoid
Personalized nursing intervention
Medical compliance
