本体感觉训练对老年类风湿性关节炎患者自我效能水平、关节疼痛及运动能力的影响

The effect of proprioception training on self-efficacy,joint pain and exercise ability in elderly patients with rheumatoid arthritis

目的:探讨本体感觉训练对老年类风湿性关节炎(RA)患者自我效能水平、关节疼痛及运动能力的影响。方法:选取2018年12月-2020年10月于我科就诊的121例老年RA患者按照随机数字表法分为对照组(n=60)和观察组(n=61)。对照组给予分期运动训练,观察组给予本体感觉训练。4周后,对比两组患者干预前后自我效能水平、疼痛程度、运动能力。结果:干预后,观察组自我效能水平高于对照组(P<0.05);观察组休息痛、疼痛关节总数低于对照组,晨僵时间观察组短于对照组(P<0.05);干预后,步速、步长观察组高于对照组(P<0.05),双支撑相观察组低于对照组(P<0.05);平衡能力各项指标观察组低于对照组(P<0.05)。结论:本体感觉训练应用于老年RA患者中通过提高患者自我效能能力,降低患者疼痛程度,从而有效提高患者运动能力。

Objective:To explore the effects of proprioception training on self-efficacy,joint pain and exercise performance in elderly patients with rheumatoid arthritis.Methods:A total of 121 elderly patients with rheumatoid arthritis who were treated in our department from December 2018 to October 2020 were selected as the research objects.They were divided into a control group(n=60)and an observation group(n=61).The control group was given staged exercise training,and the observation group was given proprioception training.After 4 weeks,the self-efficacy level,pain degree and exercise ability of the two groups were compared before and after the intervention.Results:TAfter the intervention,the self-efficacy level of the observation group was higher than that of the control group(P<0.05);the total number of rest pain and painful joints in the observation group was lower than that of the control group,and the morning stiffness time of the observation group was shorter than the control group(P<0.05);The pace and length of the observation group were higher than those of the control group(P<0.05),and the dual-support phase observation group was lower than the control group(P<0.05);the balance ability of the observation group was lower than the control group(P<0.05).Conclusion:Proprioceptive training is applied to elderly patients with rheumatoid arthritis by improving the patient’s self-efficacy and reducing the patient’s pain,thereby effectively improving the patient’s exercise capacity.