慢性病管理对类风湿关节炎继发骨质疏松症患者的生存质量的影响

Effect of chronic disease management on the quality of life of patients with rheumatoid arthritis secondary osteoporosis

目的:探讨慢性病管理对类风湿关节炎继发骨质疏松症患者的生存质量的影响。方法:选择本院2014年1月至2017年12月收治的82例类风湿关节炎继发骨质疏松症患者,根据随机抽样法分为两组,各41例。对照组接受常规药物治疗,研究组在对照组的基础上接受慢性病管理,比较两组疾病各相关指标变化及生存质量改善情况。结果:治疗后6个月、12个月、24个月两组RF、ESR、CRP及DAS28评分较治疗前均明显降低,治疗24个月后两组患者的WHOQOL-BREF评分较治疗前均明显改善,且研究组显著优于对照组(P<0.05)。结论:慢性病管理可帮助有效控制病情,提高患者的生存质量。

Objective:To explore the impact of chronic disease management on the quality of life of patients with rheumatoid arthritis secondary to osteoporosis.Methods:We selected 82 patients with rheumatoid arthritis secondary osteoporosis who were admitted to our hospital from January 2014 to December 2017,and were divided into two groups according to random sampling,41 cases in each.The control group received conventional drug treatment,and the research group received chronic disease management on the basis of the control group,comparing changes in disease-related indicators and quality of life improvement between the two groups.Results:The scores of RF,ESR,CRP and DAS28 in the two groups were significantly lower than those before treatment at 6 months,12 months and 24 months after treatment.Improvement,and the study group was significantly better than the control group(P<0.05).Conclusion:Chronic disease management can effectively control the condition and improve the quality of life of patients.