慢病管理模式在类风湿性关节炎护理干预中的应用

The Application of Chronic Disease Management in the Nursing Intervention of Rheumatoid Arthritis

目的分析在类风湿性关节炎(Rheumatoid arthritis,RA)患者护理干预中应用慢病管理模式的效果。方法选取2019年1月—2019年12月广东省揭阳市揭西县中医医院收治的78例RA患者作为研究对象,依据随机数字表法分为对照组(予以常规治疗及护理)和观察组(在对照组基础上加慢病管理模式),各39例。比较2组患者的疾病认知度和生活质量评分。结果观察组的病情监测、疾病基础知识、药物治疗及饮食知识方面的认知度高于对照组,差异均有统计学意义(P<0.05);观察组护理后的躯体健康、社会关系、心理功能及环境的生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论在RA患者护理干预中采取慢病管理模式效果显著,能提高患者的疾病认知度和生活质量。

Objective To analyze the effects of chronic disease management in rheumatoid arthritis(RA)patients.Methods 78 RA patients treated from January 2019 to December 2019 in Jiexi Hospital of Traditional Chinese Medicine were selected as research subjects.According to random number table,patients were divided into control group(n=39)and observation group(n=39).The control group took the routine treatment and care.On the basis of the former,the observation group took the chronic disease management.Patient’s illness cognition degree and quality of life scores were compared.Results The awareness of disease monitoring,basic knowledge of disease,drug therapy and diet knowledge in the observation group was higher than that in the control group,and there had statistical significance(P<0.05).The scores of physical health,social relations,psychological function and quality of life in the observation group after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The chronic disease management is feasible to improve the patient’s illness cognition degree and quality of life.