摘要
目的探讨生物-心理-社会护理模式在类风湿性关节炎出院患者延续性护理中的应用效果。方法采用回顾性研究的方法,对我院80例类风湿性关节炎患者进行研究,根据就诊顺序将受试者进行分组,其中对照组的40例患者仅接受出院指导,研究组患者在对照组的基础上接受生物-心理-社会护理模式下的延续性护理,干预3个月后比较两组患者疾病发展情况、生活自理能力、生活质量评分及干预前后的负面情绪评分。结果研究组患者关节压痛指数及晨僵时间均显著低于对照组,用药依从性评分及睡眠效率、生活自理能力及生存质量总分均显著高于对照组(P<0.05),干预3个月后两组患者SAS、SDS评分较出院时均明显降低,且研究组显著低于对照组(P<0.05)。结论生物-心理-社会护理模式可有效改善类风湿性关节炎患者的临床症状及负面情绪,提高用药依从性评分、睡眠效率及生活自理能力,对控制病情、提高患者的生存质量具有积极意义。
Objective To explore application effect of biology-psychological-social nursing mode on continuous nursing of patients with rheumatoid arthritis discharged from hospital.Methods 80 patients with rheumatoid arthritis were selected as the subjects and conducted retrospective studies.According to the order of visits,of which 40 patients in the control group only received discharge guidance.The study group received continuous nuring under the biology-psychological-social nursing mode on the basis of the control group.After 3 months of intervention,the disease development,self-care ability,quality of life score and negative emotional score before and after intervention were compared between the two groups.Results The joint tenderness index and morning stiffness time of the study group were significantly lower than the control group.The medication compliance score,sleep efficiency,self-care ability and quality of life were significantly higher than the control group(P<0.05).After 3 months of intervention The SAS and SDS scores of the two groups were significantly lower than those at the time of discharge,and the study group was significantly lower than the control group(P<0.05).Conclusion Biology-psychological-social nursing mode can effectively improve the clinical symptoms and negative emotions of patients with rheumatoid arthritis,improve the medication compliance score,sleep efficiency and self-care ability,and has positive significance for controlling the disease and improving the quality of life of patients.
作者
赵林蓉
何花
ZHAO Lin rong;HE Hua(Department of Nephropathy Rheumatology,The People’s Hospital of Xinjiang Bortala Mongolian Autonomous Prefecture,Bole Xinjiang,833400)
