摘要
目的:分析微量泵注射药物治疗类风湿性关节炎患者实施正强化理论下问题导向干预的价值。方法:选取2020年9月至2023年9月在厦门大学附属第一医院行微量泵注射药物治疗类风湿性关节炎患者共86例,依据随机摸球法划分为对照组和观察组,每组43例。对照组实施常规护理,观察组实施正强化理论下问题导向干预。比较两组患者症状改善情况、疼痛程度、疾病活动度、自我管理行为、血清免疫学指标。结果:干预后,观察组患者关节肿胀指数、关节压痛指数低于对照组,晨僵时间短于对照组,差异具有统计学意义(P<0.05)。干预后,观察组患者疾病活动性评分28(DAS28)、疼痛数字评价量表(NRS)评分低于对照组,慢性疾病自我管理行为量表评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组患者血清免疫球蛋白(Ig)A、IgM水平低于对照组,差异具有统计学意义(P<0.05)。结论:微量泵注射药物治疗类风湿性关节炎患者实施正强化理论下问题导向干预可促进症状、疼痛缓解,降低疾病活动度,提高自我管理行为,改善血清免疫学指标。
Objective To analyze the value of problem-oriented intervention under positive reinforcement theory in micropump injection drug therapy for rheumatoid arthritis patients.Methods From September 2020 to September 2023,a total of 86 patients with rheumatoid arthritis were selected from the First Affiliated Hospital of Xiamen University to receive micropump injection drug therapy,and were divided into a control group and an observation group according to random ball-touch method,with 43 cases in each group.The control group received routine nursing,and the observation group received problem-oriented intervention under positive reinforcement theory.The symptom improvement,pain degree,disease activity,self-management behavior and serum immunological indexes were compared between the two groups.Results After intervention,the joint swelling index and joint tenderness index of the observation group were lower than those in the control group,and the morning stiffness time was shorter than that in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of disease activity score 28(DAS28)and numerical rating scale(NRS)in the observation group were lower than those in the control group,and the scores of chronic disease self-management behavior scale was higher than that in the control group,with statistical significance(P<0.05).After intervention,the levels of serum immunoglobulin(Ig)A and IgM in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Problem-oriented intervention under positive reinforcement theory in micropump injection drug therapy for rheumatoid arthritis patients can promote symptoms and pain relief,reduce disease activity,improve self-management behavior,and improve serum immunological indicators.
作者
邹丽梅
黄秋菊
ZOU Limei;HUANG Qiuju(The First Affiliated Hospital of Xiamen University,Fujian Xiamen 361003)
出处
《深圳中西医结合杂志》
2024年第15期16-19,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
类风湿性关节炎
微量泵注射药物治疗
正强化理论
问题导向干预
Rheumatoid arthritis
Micropump injection drug therapy
Positive reinforcement theory
Problem-oriented intervention
