摘要
目的分析慢病管理模式在类风湿性关节炎(RA)患者中的应用效果。方法选取2020年7~12月深圳市第三人民医院收治的80例RA患者为研究对象,并根据抽签法随机分为对照组和观察组,各40例。对照组患者开展常规护理,观察组患者以常规护理为基础开展慢病管理模式护理。比较2组的关节疼痛程度、疾病认知水平、自我护理能力、炎症因子和氧化应激指标。结果2组在护理1个月后的视觉模拟评分法(VAS)评分,以及白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、丙二醛(MDA)和超氧化物歧化酶(SOD)水平均较同组护理前降低(P均<0.05),在护理2个月后上述指标均较同组护理1个月降低(P均<0.05),且观察组均较同期对照组低(P均<0.05)。护理2个月后,2组的RA相关知识评分和自我护理能力测定量表各项评分均较同组护理前提高(P均<0.05),且观察组均高于对照组(P均<0.05)。结论慢病管理模式可减轻RA患者的关节疼痛感,提高其疾病认知水平和自我护理能力,降低炎症因子水平及氧化应激水平。
Objective To analyze the application effect of chronic disease management model on patients with rheumatoid arthritis(RA).Methods A total of 80 patients with RA who were admitted to the Third People’s Hospital of Shenzhen from July to December 2020 were selected as the research objects and randomly assigned into control and observation groups by drawing lots,each with 40 cases.The patients in the control group adopted routine nursing,while the patients in the observation group adopted chronic disease management model based on the routine nursing.The degree of joint pain,disease cognitive level,self-care ability,inflammatory factors,and oxidative stress indicators were compared between the two groups.Results The visual analogue scale(VAS)scores and levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),malondialdehyde(MDA),and superoxide dismutase(SOD)in the two groups after 1 month of nursing were lower than those before nursing(all P<0.05),and the above indicators after 2 months of nursing were lower than those after 1 month of nursing(all P<0.05).The above indicators of the observation group were lower than those of the control group on the corresponding period(all P<0.05).Compared with before nursing,the scores of RA-related knowledge and exercise of self-care agency scale in the two groups were improved after2 months of nursing(all P<0.05),and the scores of the observation group were higher than those of the control group(all P<0.05).Conclusion The chronic disease management model can ease the joint pain in RA patients,improve their disease cognition and self-care ability,and reduce the levels of inflammatory factors and oxidative stress.
作者
徐喆
刘丹
韩玉星
XU Zhe;LIU Dan;HAN Yuxing(Department of Rheumatology and Immunology,The Third People's Hospital of Shenzhen,Shenzhen,Guangdong,518112,China)
出处
《中西医结合护理（中英文）》
2021年第10期13-16,共4页
Journal of Clinical Nursing in Practice
关键词
类风湿性关节炎
慢病管理
关节疼痛
rheumatoid arthritis
chronic disease management
joint pain
