基于微信平台的延伸性护理干预在类风湿性关节炎患者中的应用效果分析

Effect Analysis of Extended Nursing Intervention Based on WeChat Platform in Patients with Rheumatoid Arthritis

目的:探讨基于微信平台的延伸性护理干预在类风湿性关节炎(RA)患者中的应用效果。方法:选择2018年9月—2020年9月驻马店市中心医院收治的92例RA患者,按随机数字表法分为对照组和观察组。对照组(46例)采取常规护理,观察组(46例)实施基于微信平台的延伸性护理。比较两组干预前和干预4周时遵医依从性和生活质量[生活质量综合评定量表(GQOLI-74)]评分,调查患者护理满意度。结果:观察组干预后遵医依从性中按时服药(34.52±4.28)分、生活方式改善(34.53±4.32)分、功能锻炼(38.96±4.36)分、定期复查(35.82±4.16)分,均高于对照组的(24.89±3.21)分、(24.98±3.25)分、(28.94±4.52)分、(29.94±4.05)分(P<0.05);观察组干预后GQOLI-74(66.27±6.04)分,高于对照组的(53.19±5.14)分(P<0.05);观察组护理满意度中健康指导(22.17±1.23)分、服务态度(22.28±1.03)分、生活干预(22.34±1.07)分、操作技术(22.38±1.05)分,均高于对照组的(20.56±2.14)分、(20.49±2.11)分、(20.52±2.14)分、(20.56±2.13)分(P<0.05)。结论:基于微信平台的延伸性护理干预能够提高RA患者遵医依从性,促进患者生活质量和护理满意度提高,对于疾病恢复具有积极意义。

Objective:To explore the effect of extended nursing intervention based on WeChat platform in patients with rheuma⁃toid arthritis(RA).Methods:From September 2018 to September 2020,92 RA patients admitted to the hospital were selected.Ac⁃cording to the random number table method,they were divided into control group and observation group.The control group(46 cas⁃es)took routine care,and the observation group(46 cases)carried out extended nursing based on WeChat platform.The compli⁃ance and quality of life(quality of life comprehensive assessment scale[GQOLI-74])scores between the two groups before interven⁃tion and 4 weeks of intervention were compared.The patients’satisfaction with nursing was investigated.Results:After the inter⁃vention,the compliance of the observation group was(34.52±4.28)points for medication on time,(34.53±4.32)points for lifestyle improvement,(38.96±4.36)points for functional exercise,and(35.82±4.16)points,which were higher than(24.89±3.21)points,(24.98±3.25)points,(28.94±4.52)points and(29.94±4.05)points of the control group.After the intervention,the GQOLI-74 of the observation group was(66.27±6.04)points,which was higher than the(53.19±5.14)points of the control group.In the nursing satis⁃faction of the observation group,health guidance was(22.17±1.23)points,service attitude was(22.28±1.03)points,life intervention was(22.34±1.07)points,and operating techniques were(22.38±1.05)points,all of which were higher than(20.56±2.14)points,(20.49±2.11)points,(20.52±2.14)points and(20.56±2.13)points in the control group,the difference was statistically significant(P<0.05).Conclusion:Extended nursing intervention based on WeChat platform can improve the compliance of RA patients,pro⁃mote the improvement of patients’quality of life and nursing satisfaction.It has positive significance for disease recovery.