摘要
目的探讨专科护士指导强直性脊柱炎(AS)患者自我管理的临床实践及效果。方法采用便利抽样法,选取2016年7月—2018年7月温州医科大学附属第二医院就诊的AS患者共92例,按照随机数字表法分为试验组(n=47)和对照组(n=45)。试验组患者在骨科专科护士的指导下进行12周的自我管理,对照组患者由专科护士进行常规的健康教育。比较两组患者的躯体功能、生活质量以及心理压力。结果试验组患者的疾病躯体活动性指数量表、功能性指数、测量性指数得分均低于对照组患者,差异有统计学意义(t值分别为9.15、7.69、12.24;P<0.01);试验组患者AS生活质量量表得分低于对照组患者,差异有统计学意义(t=6.37,P<0.01);试验组患者在住院相关的焦虑和抑郁量表中的焦虑以及抑郁2个维度的心理状态得分均低于对照组,差异有统计学意义(t值分别为10.69、10.96;P<0.01)。结论专科护士对AS患者的自我管理实践可以改善患者躯体功能,提高患者生活质量,同时减轻患者焦虑以及抑郁心理。
Objective To explore the clinical practice and effect evaluation of specialized nurses-guided self-management for patients with ankylosing spondylitis (AS). Methods A total of 92 AS patients treated in the 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University from July 2016 to July 2017 were selected by convenient sampling and divided into the treatment group (n=47) and the control group (n=45) according to the random number table. Patients in the treatment group underwent self-management for 12 weeks under the guidance of specialized nurses, while patients in the control group received conventional health education by specialized nurses. Physical function, quality of life and mental stress were compared between the two groups. Results The Bath Ankylosing Spondylitis Metrology Index (BASMI), function index scores and measurement index scores of the treatment group were lower than those of the control group, and there were statistically significant differences between the two groups (t=9.15, 7.69, 12.24;P<0.01);the Ankylosing Spondylitis Quality of Life (ASQoL) score of the treatment group was lower than that of the control group, and there was statistically significant difference between the two groups (t=6.37, P<0.01);the scores of anxiety and depression in the hospitalization-associated anxiety and depression scale of the treatment group were lower than those of the control group (t=10.69, 10.96;P<0.01). Conclusions The practice of specialized nurses-guided self-management in AS patients can improve patients' physical function and quality of life and reduce their anxiety and depression.
作者
陈侠
陈思思
林仲可
李洁
Chen Xia;Chen Sisi;Lin Zhongke;Li Jie(Department of Spinal Surgery, the 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, China;Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China)
出处
《中华现代护理杂志》
2019年第18期2261-2266,共6页
Chinese Journal of Modern Nursing
基金
浙江省自然科学基金(LY14H060008).
关键词
脊柱炎
强直性
生活质量
自我管理
躯体功能
心理状态
健康教育
专科护士
Spondylitis, ankylosing
Quality of life
Self-management
Physical function
Mental state
Health education
Specialized nurse
