辅助器具在提高类风湿关节炎活动期患者日常生活活动能力中的作用

The effect of assistive devices in improving the ability of activities of daily living of patients with active rheumatoid arthritis

目的探讨辅助器具对提高类风湿关节炎(RA)活动期住院患者的日常生活活动能力(ADL)的作用。方法采用类实验研究方法,将49例RA患者随机分为实验组23例和对照组26例,实验组给予辅助器具,对照组按RA护理常规进行护理。分别在入院当日、住院第7天、第14天对两组进行ADL评分。结果两组入院当日ADL评分差异无明显统计学意义(P>0.05),实验组住院第7天和第14天随住院时间的延长,其ADL评分逐渐增加(P均<0.01)。两组干预前后ADL评分差值的组间比较,实验组明显高于对照组,差异有统计学意义(P<0.05或P<0.01)。结论辅助器具的使用能显著提高类风湿关节炎活动期住院患者的日常生活活动能力。

Objectives To investigate the effect of assistive devices in improving the ability of activities of daily living （ADL） of patients with active rheumatoid arthritis （RA）. Methods Quasi-experimental research method was adopted. 49 RA patients were randomly divided into experimental group （n=23） and control group （n 26）. Assistive devices were provided in experimental group while the routine nursing were provided in control group. Scores of ADL of both groups were assessed on admitted day., 7th day and 14th day of admission. Results There is no significant difference between the ADI. scores of two groups on admitted day（P〉 0.05）. With the prolong of admission, the ADL score of experimental group increased significantly on 7th day（P〈0.01） and 14th day〈P〈0.01）. The scores increased from 7th day to admitted day and from 14th day to 7th day in experimental group were significantly higher than those in control group（P〈0.05,P〈0.01）. Conclusion The application of assistive devices in active RA patients can significantly improve their ADL ability.