摘要
目的探讨抗阻训练对类风湿关节炎患者手关节功能康复的影响。方法选取2016年10月至2017年3月在北京协和医院风湿免疫科门诊的非急性期类风湿关节炎患者66例，采用便利抽样法按就诊先后顺序分为对照组和干预组各33例。对照组行常规手指操功能锻炼指导；干预组由经过专门培训的护士进行手指操＋抗阻训练指导。在锻炼前及3个月后分别测试2组患者的双手握力、记录患者手部晨僵时间，通过关节功能障碍评分量表（SOFI）评估患者手功能。结果入组时对照组双手握力、晨僵时间、SOFI评分分别为60.0（43.0，100.5）mmHg（1 mmHg=0.133 kPa）、45.0（30.0，60.0）min、2.0（1.0，3.0）分，干预组分别为85.0（49.3，108.7）mmHg、45.0（30.0，60.0）min、2.0（1.0，3.0）分，2组比较差异无统计学意义（Z=-1.488、-0.609、-0.118，均P〉0.05）；3个月后，对照组双手握力、晨僵时间、SOFI评分分别为60.0（40.5，102.7）mmHg、30.0（10.0，45.0）min、1.0（1.0，2.0）分，干预组分别为89.5（56.0，119.0）mmHg、10.0（5.0，15.0）min、1.0（0.0，1.0）分，2组比较差异有统计学意义（Z=-2.412、-3.668、-2.998，均P〈0.05或0.01）。同时干预组中，握力较入组时明显升高，晨僵时间、SOFI较入组时明显减低，差异均有统计学意义（Z=-4.865、-5.508、-4.711，均P〈0.01）。
ObjectiveTo investigate the effect of resistance training on the rehabilitation of hand joint in patients with rheumatoid arthritis. MethodsSelecting 66 cases of the stable phase of rheumatoid arthritis （ra） patients in a rheumatoid immunology outpatient of a general hospital in Beijing during October 2016 to March 2017, 33 patients were randomly divided into control group and 33 patients into intervention group by using random number. Exercise instruction of routine finger operation in control group; The intervention group was guided by trained nurses with finger exercises and resistance training. Two groups of patients were tested before and after 3 months of exercise, and both hands were tested and the patients were recorded with their hands. The patients were evaluated by the Signals of Functional Impairment（SOFI）.ResultsBefore exercise, the grip strength, morning stiffness time, SOFI score in the control group were：60.0（43.0,100.5） mmHg（1 mmHg=0.133 kPa）, 45.0（30.0,60.0）min,2.0（1.0,3.0）,and in the intervention group they were：85.0（49.3,108.7） mmHg,45.0（30.0,60.0） min,2.0（1.0,3.0）,the differences between two groups of had no statistical significance （Z=-1.488, -0.609, -0.118, P〉0.05）. After three months of exercise, the grip strength, morning stiffness time, SOFI score in the control group were：60.0（40.5,102.7） mmHg,30.0（10.0,45.0） min,1.0（1.0,2.0）,and in the intervention group they were：89.5（56.0,119.0） mmHg,10.0（5.0,15.0） min,1.0（0.0,1.0）,the differences between two groupshad statistical significance （Z=-2.412, -3.668, -2.998, P〈0.05）.This showed that the grip strength was significantly increased compared with the control group,while the morning stiffness of the intervention group was significantly lower than the control group, and SOFI was significantly reduced compared with the control group, and all the differences were statistically significant. The results also showed that in the control group, the grip force did not change
出处
《中国实用护理杂志》
2018年第3期176-181,共6页
Chinese Journal of Practical Nursing
关键词
关节炎
类风湿
手功能
抗阻训练
Arthritis, rheumatoid
Hand function
Resistance training
