摘要
目的探讨风湿免疫科护士主导的适应性领导策略干预联合循证运动锻炼指导在强直性脊柱炎患者中的应用价值。方法便利选取2021年3月—2022年2月于龙岩市第二医院治疗的强直性脊柱炎患者84例,按简单随机化法分为联合组和对照组,各42例。对照组采取常规护理及循证运动锻炼指导,联合组在对照组基础上采取以风湿免疫科护士主导的适应性领导策略干预,两组均连续干预3个月。比较干预前后两组患者活动度(枕墙距、指地距、胸廓扩张度)、躯体功能[强直性脊柱炎功能指数(BASFI)]、晨僵时间、锻炼依从性(康复锻炼依从性量表)及生活质量[强直性脊柱炎生活质量量表(ASQoL)]差异。结果干预后,联合组BASFI评分(3.38±1.12)分低于对照组(3.96±1.27)分,差异有统计学意义(t=2.220,P=0.029)。联合组晨僵时间(18.12±5.13)min短于对照组(20.57±5.25)min,差异有统计学意义(t=2.163,P=0.033)。联合组ASQoL评分(5.84±1.98)分低于对照组(6.87±2.14)分,差异有统计学意义(t=2.290,P=0.025)。结论风湿免疫科护士主导的适应性领导策略干预联合循证运动锻炼指导能有效促进强直性脊柱炎患者预后恢复,临床效果显著。
Objective To explore the application value of rheumatology and immunology nurse-led adaptive leadership strategy intervention combined with evidence-based exercise guidance in patients with ankylosing spondylitis.Methods Conveniently selected 84 patients with ankylosing spondylitis who were treated at Longyan Second Hospital from March 2021 to February 2022 were randomly divided into a combination group and a control group,with 42 patients in each group.The control group received routine nursing and evidence-based exercise guidance,while the combined group received adaptive leadership strategy intervention led by rheumatology and immunology nurses on the basis of the control group.Both groups received continuous intervention for 3 months.Compared the differences in activity(occipital wall distance,finger ground distance,chest expansion),physical function[Bath Ankylosing Spondylitis Functional Index(BASFI)],morning stiffness time,exercise compliance(rehabilitation exercise compliance scale),and quality of life[Ankylosing Spondylitis Quality of Life(ASQoL)]between the two groups of patients before and after intervention.Results After intervention,the BASFI score of the combination group(3.38±1.12)points was lower than that of the control group(3.96±1.27)points,and the difference was statistically significant(t=2.220,P=0.029).The morning stiffness time of the combination group(18.12±5.13)min was shorter than that of the control group(20.57±5.25)min,and the difference was statistically significant(t=2.163,P=0.033).The ASQoL score of the combination group(5.84±1.98)points was lower than that of the control group(6.87±2.14)points,and the difference was statistically significant(t=2.290,P=0.025).Conclusion The rheumatology and immunology nurse-led adaptiveleadership strategy intervention combined with evidence-based exercise guidance can effectively promote the prognosis and recovery of patients with ankylosing spondylitis,and the clinical effect is significant.
作者
陈婉珍
林霄雁
肖有平
CHEN Wanzhen;LIN Xiaoyan;XIAO Youping(Department of Intranephrology,Hematology and Rheumatology,Longyan Second Hospital,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2023年第12期166-169,183,共5页
China & Foreign Medical Treatment
关键词
风湿免疫科
适应性领导策略
循证运动锻炼指导
强直性脊柱炎
Department of rheumatology and immunology
Adaptive leadership strategies
Evidence-based exercise guidance
Ankylosing spondylitis
