膝关节骨性关节炎患者的自我管理

Self-management of patients with knee osteoarthritis

目的:探讨自我管理对膝关节骨性关节炎患者的影响。方法:将80例膝关节骨性关节炎患者随机分为观察组和对照组,观察组在系统保守治疗后进行有针对性的护理干预提高患者自我管理意识(每月1次,连续4次),对照组在系统保守治疗后进行常规的健康教育。分别在出院前和出院6个月后随访时进行症状评分(WOMAC评分量表)。结果:观察组和对照组在出院前进行WOMAC评分比较,差异无统计学意义(P﹥0.05),出院6个月后随访时观察组患者的遵医行为和WOMAC评分与对照组相比,差异有统计学意义(P﹤0.05)。结论:自我管理能够提高患者的依从性并有助于维持临床疗效,加强患者的自我管理水平,对提高患者的生活质量有积极的意义。

Objective： To investigate＇the impact of self-management on patients with knee osteoarthritis. Methods： 80 cases with knee osteoarthritis were randomly divided into an observation group and a control group. Patients in the observation group were treated with conventional therapy and targeted nursing intervention to improve the self-management（ once a month for 4 continuous months）, while patients in the control group were treated with conventional therapy and health education. The WOMAC scores of symptoms were followed up before discharging and after 6 months of discharge. Results： The WOMAC scores of the observation group and the control group before discharge were compared with no statistically significant difference（P〉0.05）, after 6 months of discharge, the compliance behavior and WOMAC scores of the two groups were compared with statistical difference（P〈0.05）. Conclusion： Self-management can improve patient compliance and maintain the clinical curative effect, strengthen the patient＇s self management level. It has positive significance to improve the quality of life of patients.