个体化系统锻炼对类风湿关节炎患者活动能力的影响

Effect study of individual and systematic exercises method on the physical ability for patients with rheumatoid arthritis

目的探讨适合于类风湿关节炎患者的功能锻炼方法。方法将50例类风湿关节炎患者随机分为两组,每组25例,对照组接受责任护士指导后自行锻炼,观察组由专职护士根据患者的关节功能分级不同督导个体化系统锻炼。分别在锻炼的0周、4周、12周、24周应用健康评定调查量表(health assessment questionnaire,HAQ)[1]评定两组患者的活动能力。结果观察组失访4例,对照组失访5例。HAQ评分比较,0周、4周两组间差异不明显,但12周、24周两组差异有显著意义(P<0.05)。结论由专业人员督导的个体化功能锻炼能延缓甚至纠正类风湿关节炎患者的关节畸形,改善其活动能力。

Objective To develop the suitable exercise method for patients with rheumatoid arthritis. Method 50 patients were randomly divided into two groups, each contained 25. The control group was exercised by themselves after being guided by the responsible nurse. The observation group was exercised systematically by individual methods which were made out by full-time nurse based on the patients＇ joint function grades. The physical capability between the two groups＇ in 0, 4^th, 12^th and 24^th week according to health assessment questionnaire （HAQ） were measured and compared. Result 4 patients of the control group and 5 patients in observation group were defaulting. The HAQ grade gap between the two groups wasn＇t obvious in 0 and 4^th week, but statistically difference in 12^th and 24^th week, the capability of the observation group is obviously strengthened. Conclusion Individual function exercises guided by professional make patients＇ psychology preparation more adequate, exercise method more effective and exercise process more continuous. Long term systematical exercises can postpone or even correct the joint deformity of the arthritis patient of rheumatoid and improve physical capability.