老年类风湿关节炎患者应用延续性护理对其自我效能和生活质量的影响

Effect of continuous nursing on self-efficacy and quality of life in elderly patients with rheumatoid arthritis

目的探讨在老年类风湿关节炎患者中应用延续性护理对其自我效能和生活质量的影响。方法选取2018年12月—2019年12月于我院治疗的60例老年类风湿关节炎患者纳入研究,以随机数字表法将其分为观察组与对照组,每组30例。对照组实施常规出院指导,观察组实施延续性护理,对比2组服药依从性、自我效能评分、关节压痛指数(TJC)、类风湿因子(RF)、红细胞沉降率(ESR)、C反应蛋白(CRP)及生活质量(SF-36)评分。结果观察组干预后的服药依从性、自我效能评分均高于对照组,TJC评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后的RF、ESR、CRP水平低于对照组,差异有统计学意义(P<0.05)。观察组干预后的SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论对老年类风湿关节炎患者实施延续性护理,能够提高其服药依从性与自我效能,有利于关节功能锻炼,提升其对疾病的认知,同时还能改善患者疼痛感受,延缓病情进展,提高生活质量。

Objective To explore the effect of continuous nursing on self-efficacy and quality of life in elderly patients with rheumatoid arthritis.Methods 60 elderly patients with rheumatoid arthritis who were treated in our hospital from December 2018 to December 2019 were included in the study.They were divided into observation group and control group with random number table method,30 cases in each group.Routine discharge guidance was carried out in the control group and continuous nursing was carried out in the observation group.The compliance,self-efficacy,tenderness index(TJC),rheumatoid factor(RF),erythrocyte sedimentation rate(ESR),C-reactive protein(CRP)and quality of life(SF-36)were compared between the two groups.Results The scores of drug compliance and self-efficacy in the observation group were higher than those in the control group,and TJC scores were lower than those in the control group,The difference was statistically significant(P<0.05).The content of RF,ESR and CRP in the observation group was lower than that in the control group,The difference was statistically significant(P<0.05).The SF-36 score of the observation group was higher than that of the control group,The difference was statistically significant(P<0.05).Conclusion The implementation of continuous nursing in elderly patients with rheumatoid arthritis can improve their medication compliance and self-efficacy,which is conducive to the exercise of patients'joint function and enhance their awareness of the disease.At the same time,it can improve the patients'pain feeling,reduce the content of rheumatoid factor,erythrocyte sedimentation rate and C-reactive protein,delay the progress of the disease and improve their quality of life.