摘要
目的探讨视频宣教结合Teach-back对类风湿关节炎患者居家功能锻炼依从性、病情活动情况的影响。方法采用便利抽样法,纳入2018年3—11月在四川省人民医院风湿免疫科住院治疗的类风湿关节炎患者80例为研究对象,采用随机数字表法随机分为干预组和对照组,对照组实施常规出院指导,口头宣教指导患者的功能锻炼;干预组在对照组的基础上实施视频宣教结合Teach-back的健康教育方案,并协助下载视频,于干预前、干预后1、3个月分别采用家庭锻炼依从性量表、28个关节疾病活动性评分(DAS28)评价患者的居家功能锻炼依从性及疾病活动情况。结果最终两组共有73例(对照组37例,干预组36例)研究对象完成了研究。干预后1、3个月,干预组的家庭功能锻炼依从性优于同期对照组,两组比较差异有统计学意义(P<0.05);干预组的疼痛关节数(Tender Joint Count,TJC28)、肿胀关节数(Swollen Joint Count,SJC28)、整体健康状态评估(Patient General Health,GH)得分低于同期对照组,差异有统计学意义(P<0.05),但红细胞沉降率(Erythrocyte Sedimentation Rate,ESR)、DAS28总分的干预效果不明显(P>0.05)。结论视频宣教结合Teach-back可有效提高类风湿关节炎患者的居家功能锻炼依从性,有助于健康行为的培养,继而减少疼痛关节数、肿胀关节数,降低患者疼痛程度,改善患者预后。
Objective To explore the effect of video education combined with Teach-back on the compliance of patients with rheumatoid arthritis (RA) to exercise at home and the condition of disease activity. Methods By convenience sampling, 80 patients with RA who were hospitalized in the Rheumatology and Immunology Department of Sichuan Provincial People's Hospital from March to November 2018 were included in the study. By random number table, the patients were divided into the intervention group and control group, the control group was given routine discharge instruction and the patients were taught about the functional exercise orally;on the basis of that, the intervention group was given the video education combined with Teach-back and assisted to download videos, Family Exercise Compliance Scale and Disease Activity Score in 28 Joints (DAS28) were used to evaluate the patients' compliance in functional exercise at home and disease activity condition before intervention, 1 month and 3 months after intervention. Results Finally, 73 cases (37 cases in the control group, 36 cases in the intervention group) in two groups completed the research plan. One and 3 months after intervention, the compliance with family functional exercise of the intervention group was better than the control group from the same period with statistical significance (P<0.05);the scores of Tender Joint Count (TJC28), Swollen Joint Count (SJC28), Patient General Health (GH) of the intervention group were all lower than the control group from the same period with statistical significance (P<0.05), however, the scores of Erythrocyte Sedimentation Rate (ESR) and DAS28 didn't demonstrate obvious intervention effects (P>0.05). Conclusions Video education combined with Teach-back can effectively improve the compliance of RA patients with home functional exercise, help to cultivate healthy behavior, and hence reduce the number of tender joint, swelling joints, reduce the degree of pain, improve the prognosis of patients.
作者
周开敏
温贤秀
曹玉琼
谭君梅
马茂
曾珊
龙丽
Zhou Kaimin;Wen Xianxiu;Cao Yuqiong;Tan Junmei;Ma Mao;Zeng Shan;Long Li(School of Nursing, Chengdu University of TCM, Chengdu 610075, China;Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital, Chengdu 610072, China;Department of Nursing, Sichuan Nursing Vocational College, Chengdu 610100, China)
出处
《中华现代护理杂志》
2019年第28期3583-3588,共6页
Chinese Journal of Modern Nursing
基金
成都市科学技术局项目(2015-HM01-00165-SF).
关键词
类风湿关节炎
居家功能锻炼
依从性
疾病活动度
Rheumatoid arthritis
Family functional exercise
Compliance
Disease activity
