电话随访对类风湿性关节炎患者疲乏症状的影响

Influence of telephone follow-up on fatigue in patients with rheumatoid arthritis

目的探讨电话随访对类风湿性关节炎患者疲乏症状的干预效果。方法将128例类风湿性关节炎患者随机分为观察组和对照组各64例,对照组进行常规护理及出院指导,嘱其不适复诊;观察组在对照组干预基础上,于患者出院后进行为期4个月的电话随访,对患者出院后出现的或可能出现的问题进行护理指导。应用疲乏视觉模拟评分法(VAS)、健康评估问卷(HAQ)测评干预前后两组患者的疲乏症状及功能状态。结果出院后4个月随访时观察组疲乏程度及疲乏评分显著低于对照组(P<0.05,P<0.01);功能状态除进食、触物、活动外,其他条目评分显著优于对照组(P<0.05,P<0.01);晨僵时间显著缩短(P<0.01)。结论电话随访能提高患者的功能状态,明显缓解类风湿性关节炎患者的疲乏症状,有助于提高患者的生活质量。

Objective To study the effects of telephone follow-up on fatigue of patients with rheumatoid arthritis. Methods A total of 128 patients with rheumatoid arthritis and experiencing fatigue symptoms were divided into an observation group and a control group, with each group having 64 cases. The patients in control group were given routine nursing care during hospitalization and given routine guidance at discharge; they were also asked to pay regular visits to outpatient clinic. The patients in observation group were additionally followed-up by telephone over a 4-month period after discharge. Through telephone follow-up we provided nursing guidance for patients＇ present and future problems. The Visual Analogue Scale （VAS） and Health Assessment Questionnaire （HAQ） were used to investigate the changes in patientsf fatigue levels and functional status before and after intervention. Results At 4th-month after discharge, the fatigue degrees and scores in the observation group were milder and smaller than those in the control group （P〈 0.05, P〈 0. 01）. The scores of functional items except eating, touching, and activities, in the observation group, were significantly better than in the control group （P〈0.05 ,P〈0.01）, the duration of morning stiffness was significantly shortened （P〈0.01）. Conclusion Telephone follow-up can improve functional status, and relieve fatigue of patients with rheumatoid arthritis, which guarantees their quality of life.