类风湿关节炎患者社会支持状况调查分析

Investigation on status of social support for patients with rheumatoid arthritis

目的了解类风湿关节炎患者的社会支持状况，为制定相应的身心护理提供科学理论依据。方法采用社会支持评定量表对112例类风湿关节炎患者所获得的社会支持状况进行调查分析。结果类风湿关节炎患者获得的社会支持总分为（36．56±7．97）分，与常模（33．05±3．85）分比较，差异有统计学意义（P〈0．05）。主观支持受病程和住院次数影响；客观支持受医疗费用支付方式和关节功能影响；婚姻、住院次数、关节功能则影响支持的利用度。结论护士应全面评估患者的社会支持状况，为患者提供恰当的社会支持，指导患者强化现有的社会支持网络，拓展新的社会支持网络并主动利用社会支持网络以便增强类风湿关节炎患者的社会支持。

Objective To learn the status of social support for patients with rheumatoid arthritis and formulate the theoretical basis for providing physical and psychological nursing. Methods A total of 112 patients with rheumatoid arthritis were investigated with the social support. Results The total score of social support was （36.56 ± 7.97） in the patients with rheumatoid arthritis, which showed significantly different compared with the norm （33.05 ± 3.85）. Subjective support was influenced by course and hospitalizations, while objective support was influenced by medical treatment fee and joint function. Marriage, hospitalization and joint function had influenced the utilization degree of support. Conclusions the patients with comprehensive assessment should nurse social support for patients, provide proper social support and guide patients of social support network, develop a new social support network and social support network using active rheumatoid arthritis to strengthen the social support.