The Quality of Life of the Patients with Rheumatoid Arthritis before and after Balneotherapy

Rheumatic diseases are the most common reasons of partial disability and the fourth leading reason of the full disability. The rheumatoid arthritis （RA） is a chronic autoimmune disease characterized by synovium inflammation with subsequent joints harming. The complex RA treatment has several objectives--symptomatic relief, suppression of active inflammation, prevention of tissue damage, improvement of physical function, self-reliance, and improvement of the quality of life. The integral part of the therapeutic approach to patients with chronic musculoskeletal disease is a spa treatment, which is having a long-lasting tradition in their area. Spa treatment has positive impact on the quality of life improvement. The purpose of the present work： The main objective of this work is the assessment of spa therapy effects on patients＂ quality of life with rheumatoid arthritis. Compare the results in quality of life assessment with men and women before and after the spa treatment. The investigation was created with 40 participants. The female and male ratio was balanced in the group 20： 20. The average age was in their complete investigated group 61.95. The male age variance was from 39 to 78 years of age and with female group the youngest patient was 45 and the oldest 76. Patients completed J^ichymov Spa treatment with 2 l-day length. The quality of life index in the whole group of patients after completing the spa treatment reached higher values as before the spa treatment. The result index of the quality of life with men before spa treatment was 51.6, and the spa treatment was 63.1. With women was the result index of quality of life before spa treatment 48.7 and after the spa treatment it reached 60.4. Patient＇s quality of life was higher in their sample due to spa treatment completion compared with results before the spa treatment. Spa treatment positively affects the quality of life of patients with rheumatoid arthritis.

Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.

Effect of Continuous Nursing on Pain and Quality of Life in Patients with Rheumatoid Arthritis

Objective:To explore the effectiveness of continuous nursing in the treatment of patients with rheumatoid arthritis for relieving pain and improving the quality of life of patients.Methods:A total of 80 patients with rheumatoid arthritis were treated in our department from January to August 2021.All patients were treated with continuous nursing,and their quality of life and pain related content were evaluated before admission examination,and their quality of life and pain after discharge were evaluated.Results:The pain degree of patients before continuous nursing intervention was 3.26±0.12,and the pain degree score after nursing was 1.22±0.23,t=70.3344,P<0.05.The difference is obvious and comparable;The scores of emotional function,role physical,social function,physical pain,physiological function,mental health,life vitality and overall health of patients before continuous nursing intervention were 71.33±1.23,72.12±1.36,71.56±1.42,73.25±2.01,74.36±0.96,73.12±2.45,72.98±1.63 and 73.56±1.26 respectively,and the scores of emotional function,role physical,social function,body pain,physiological function,mental health,life vitality and overall health were 91.66±1.03,93.23±1.36,92.69±1.06,93.69±1.47,92.98±1.69,95.36±1.23,94.01±1.66 and 94.06±1.69 respectively,P<0.05.The differences are comparable.Conclusion:Through continuous nursing intervention,after rheumatoid patients are discharged from hospital,the degree of pain of patients is significantly reduced,and the quality of life is significantly improved.Patients can actively integrate into social life and maintain a good attitude.

Chinese herbal medicine Xinfeng Capsule in treatment of rheumatoid arthritis:study protocol of a multicenter randomized controlled trial

BACKGROUND： Rheumatoid arthritis （RA）, as a common systemic inflammatory autoimmune disease, affects approximately 1 in 100 individuals. Effective treatment for RA is not yet available because current research does not have a clear understanding of the etiology and pathogenesis of RA. Xinfeng Capsule, a patent Chinese herbal medicine, has been used in the treatment of RA in recent years. Despite its reported clinical efficacy, there are no large-sample, multicenter, randomized trials that support the use of Xinfeng Capsule for RA. Therefore, we designed a randomized, double-blind, multicenter, placebo-controlled trial to assess the efficacy and safety of Xinfeng Capsule in the treatment of RA. METHODS AND DESIGN： This is a 12-week, randomized, placebo-controlled, double-blind, multicenter trial on the treatment of RA. The participants will be randomly assigned to the experimental group and the control group at a ratio of 1：1. Participants in the experimental group will receive Xinfeng Capsule and a pharmaceutical placebo （imitation leflunomide）. The control group will receive leflunomide and an herbal placebo （imitation Xinfeng Capsule）. The American College of Rheumatology （ACR） Criteria for RA will be used to measure the efficacy of the Xinfeng Capsule. The primary outcome measure will be the percentage of study participants who achieve an ACR 20% response rate （ACR20）, which will be measured every 4 weeks after randomization. Secondary outcomes will include the ACR50 and ACR70 responses, the side effects of the medications, the Disease Activity Score 28, RA biomarkers, quality of life, and X-rays of the hands and wrists. The first four of the secondary outcomes will be measured every 4 weeks and the others will be measured at baseline and after 12 weeks of treatment. DISCUSSION： The result of this trial will help to evaluate whether Xinfeng Capsule is effective and safe in the treatment of RA. TRIAL REGISTRATION： This trial has been registered in ClinicalTrials.gov. The identifier is N CT01774877.

Evaluation of the effect of acupuncture on hand pain,functional deficits and health-related quality of life in patients with rheumatoid arthritis--A study protocol for a multicenter,double-blind,randomized clinical trial

BACKGROUND： Rheumatoid arthritis（RA） is a systemic inflammatory disease characterized by functional disability and pain. Although acupuncture is widely used, until now Western acupuncture studies on RA have not shown conclusive positive results. Acupuncture is regarded as a reflex therapy that has effects on the human autonomic nervous system. By establishing a traditional Chinese medicine（TCM） diagnosis first, the practitioner is able to choose acupoints according to the state of each individual patient.METHODS/DESIGN： We are interested if acupuncture, using a classical diagnostic procedure to allocate acupoints to the patient according to the Shang Han Lun theory, can be effective in relieving pain, improving hand function and increasing health-related quality of life in RA.The authors intend to harmonize TCM diagnosis according to clinical and genetic profiles. Patients with the TCM diagnosis of a so-called Turning Point syndrome will be followed up in a randomized, prospective, double-blind, placebo-controlled, multicenter and three-armed parallel-group study with a standardized treatment in order to optimize potential therapeutic effects of acupuncture on pain, strength and muscle function of patients with RA as well as the influence on inflammation and quality of life.DISCUSSION： The findings of this study will provide important clinical information about the feasibility and efficacy of acupuncture treatment for RA patients. In addition, it will explore the feasibility of further acupuncture research.TRIAL REGISTRATION NUMBER： Clinical Trials.gov Identifier NCT02553005.

Effectiveness of Acupuncture on Pain, Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis: A Systematic Review of Quantitative Evidence

Objective: To identify and synthesize the most recent available evidence of effectiveness of acupuncture on pain, physical function and health-related quality of life(HRQoL) in patients with rheumatoid arthritis(RA). Methods: A comprehensive search of 12 Western and Chinese databases was undertaken from their inception up to end of 2016. Randomized controlled trials(RCTs), concerning patients with RA treated with needle acupuncture, written in English, Portuguese, German or Chinese were included. Primary outcomes included pain, physical function and HRQoL. Secondary outcomes included morning stiffness, functional impairment, number of tender and swollen joints and serum concentrations of inflamatory markers. Methodological quality was assessed by three independent reviewers using the standardized critical appraisal instrument from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. Results: Twenty-two studies met the inclusion criteria. Of those, 9 studies were excluded after assessment of their methodological quality. The remaining 13 original RCTs included 974 patients. Ten of these studies published in China, showed favorable statistical significant effects of acupuncture in relieving symptoms of RA compared with controls. Conclusions: Evidence suggests that acupuncture interventions may have a positive effect in pain relief, physical function and HRQo L in RA patients. However, due to the heterogeneity and methodologic limitations of the studies included in this systematic review, evidence is not strong enough to produce a best practice guideline.

Health-Related Quality of Life of Children and Adolescents with Juvenile Idiopathic Arthritis in Western Saudi Arabia

Objectives: To evaluate the effect of Juvenile Idiopathic Rheumatoid Ar-thritis (JIA) on the health-related quality of life (HRQOL) in Saudi children. Methods: A cross-sectional study was conducted in a tertiary hospital in Jeddah, Saudi Arabia to evaluate the HRQOL of children aged ≤ 18 years who had JIA using the childhood health assessment questionnaire modified for Arab children (CHAQ-MAC). Such questionnaire investigates 34 activities of daily life (ADL) classified into 8 life domains. Children or their parents were invited for face-to-face interview, and a phone interview was done for patients who missed their appointments during the period between February and July 2017. A statistical model was used to calculate a total CHAQ.MAC score (range = 0 - 33;Cronbach’s alpha = 0.966);with higher values indicating poorer HRQOL. Results: Of a total of 44 children (male ratio = 0.63;mean ± SD age = 9.95 ± 5.44), Systemic-onset JIA was the most frequent type (27.3%), followed by polyarticular (15.9%) and oligoarticular (13.6%). Pain was reported among 43.2% (frequently in the knee, in 27.3%) whereas morning stiffness was reported in 20.5%. The mean CHAQ.MAC score = 2.89 (75th centile = 3.00). With respect of ADLs, up to 22.7% of the children complained of difficulty;and 31.8% reported a difficulty in at least one of the 34 investigated ADLs. With respect of the life domain, children reported difficulties for activities (27.3%), dressing & grooming and hygiene (13.6%), and eating (6.82%). According to the life domain, 4.5% to 13.6% of the children needed help to execute the related ADLs and up to 9.1% used aids or devices. Poor HRQOL was associated with articular pain (p = 0.003) and specific medication (p = 0.043). Con-clusion: Children with arthralgia and those on specific treatment are at higher risk of impaired QOL, which emphasizes the need for systematic screening for treatment adverse effects and joint pain and implementation of efficient management to improve HRQOL.

Xinfeng Capsule(新风胶囊)for the Treatment of Rheumatoid Arthritis Patients with Decreased Pulmonary Function—A Randomized Controlled Clinical Trial

Objective： To determine the effectiveness and safety of Xinfeng Capsules （新风胶囊, XFC） for the treatment of rheumatoid arthritis （RA） patients with decreased pulmonary function. Methods： This was a randomized controlled clinical trial of 80 RA patients. Participants were assigned to the tdal group （40 cases） and the control group （40 cases） by block randomization. The trial group was treated with XFC, three pills each time three times daily for 2 months. The control group was treated with tripterygium glycoside （TPT）, two pills each time three times daily for 2 months. Both groups were followed up after 2 months. The clinical effects, changes in joint and pulmonary function, and quality of life before and after treatment were observed; safety indices were also evaluated. Results： Pain, swelling, tenderness, and duration of morning stiffness of joints were obviously decreased after treatment in both the trial and the control groups compared with baseline （P〈0.01）. Compared with before treatment, hand grip strength increased significantly after treatment in the trial group （P=0.0000）; pulmonary function parameters such as forced expiratory volume in the first second of expiration/forced vital capacity （FEV1/FVC）, 50% of the expiratory flow of forced vital capacity （FEFso）, carbon monoxide diffusing capacity （DLco） were increased （P〈0.01 or P〈0.05）; measures of quality of life such as role-physical, body pain, vitality and mental health were also improved after treatment in the trial group （all P〈0.05）. Joint swelling in the trial group decreased compared with the control group （P=0.0043）, while hand grip strength was increased after treatment （P=0.0000）. The increase in FEFs0, DLco, and the dimensions of quality of life such as vitality and mental health were all significantly greater in the trial group than the control group （P〈0.05 or P〈0.01）. Conclusions： XFC not only relieved joint pain in RA patients, but also significantly improved the ventilation and diffusion function of the lungs. Therefore, XFC could improve the whole body function and enhance the quality of life of RA patients.

Temperament and character as predictor of health related quality of life after metacarpophalangeal joint arthroplasty ——Personality and MCP joint arthroplasty outcome

Purpose: To evaluate personality characteris- tics’ impact upon outcome after silicone-based MP arthroplasty in RA patients. Methods: 40 RA patients who had undergone operations on their MP joints were investigated in a one-year fol- low-up. Objective measurement to assess grip strength and active range of motion—Paper- pencil-tests to assess pain during activity and at rest performance, QoL, and personality. Results: Significant improvement was observed in func- tion and pain related scores except for the pain related VAS and in several QoL facets and do- mains. Patients who experienced improvement reported higher scores on the activities of daily living facet of the WHO QoL questionnaire. Those with lower pain showed more independ- ence. The variance of the QoL domain scores, other than social and physical domains, could substantially and meaningfully be explained by variance of objective measures combined with personality scores. Conclusions: Most RA pa- tients’ QoL can be improved by MP arthroplasty despite remaining substantial level of pain. NS and HA seem to play an important role in the adaptation process during the long term, chronic illness;whereas SD represents a tool of coping with the burden of pain and disability. Personal- ity characteristics are highly predictive for QoL suggesting their important mediating role be- tween experienced pain and disability and HR QoL.

类风湿性关节炎患者健康相关生命质量评价及其影响因素

目的探讨类风湿性关节炎(RA)住院患者健康相关生命质量(HRQoL)评分及其影响因素。方法采用欧洲五维度五水平健康量表(EQ-5D-5L)及自编问卷对2023年4~9月安徽中医药大学第一附属医院风湿免疫科收治的200例RA住院患者进行HRQoL调查,EQ-5D-5L量表中健康描述系统及视觉模拟标尺(EQ-VAS)分别用于测量RA患者健康效用值及整体健康状态,采用单因素分析、Tobit多因素回归分析影响RA患者HRQoL的因素。结果共收集190份有效问卷,有效回收率95%。RA患者健康效用值为(0.77±0.25),EQ-VAS评分为(76.44±43.65)分,其健康问题多集中于“行动能力”和“疼痛或不适”两个维度。Tobit多因素回归分析显示,文化程度低(P=0.042,95%CI:0.032~0.143)与吸烟(P=0.013,95%CI:-0.154~-0.019)是RA患者HRQoL的危险因素。结论RA患者HRQoL与EQ-VAS较一般人群相比情况尚可,但仍存在健康效用值较低的问题,其中文化程度低与吸烟的患者HRQoL较差。

中医治疗类风湿关节炎效果观察

目的探讨中医治疗类风湿关节炎的临床疗效。方法选取医院2021年5月至2022年3月收治的类风湿关节炎患者80例,通过随机抽签方式分为观察组和对照组,各40例。两组患者均予常规西医治疗,观察组加用薏苡仁汤加减和中医针灸治疗。结果观察组关节肿胀、关节功能障碍、20 m行走时间评分均显著低于对照组(P<0.05)。观察组不良反应发生率为20.00%,显著高于对照组的5.00%(P<0.05)。观察组视觉模拟量表(VAS)评分为(2.01±0.45)分,显著低于对照组的(2.78±1.01)分(P<0.05)。观察组患者生活质量评分显著高于对照组(P<0.05)。观察组治疗满意度显著高于对照组(P<0.05)。结论中医治疗类风湿关节炎,可缓解患者的关节肿胀,减轻疼痛程度,改善关节功能及行走受限等临床症状。

隔药灸联合中医五行手指操治疗寒湿痹阻型类风湿关节炎的疗效观察

目的探讨隔药灸联合中医五行手指操改善寒湿痹阻型类风湿关节炎(rheumatoid arthritis,RA)的临床疗效。方法将90例寒湿痹阻型RA患者随机分为对照组和观察组,每组45例。对照组予以来氟米特片、艾拉莫德片、塞来昔布胶囊口服;观察组在对照组基础上行隔药灸联合中医五行手指操,其中隔药灸选取脾俞、阳陵泉、腰阳关、命门及手阳明大肠经、手少阳三焦经、手太阳小肠经上的阿是穴,每日1次,每次30 min。两组均治疗10 d。分别于治疗前后观察两组患者的疼痛视觉模拟评分(visual analogue scale,VAS)、炎症指标红细胞沉降率(erythrocyte sedimentation rate,ESR)、C反应蛋白(C-reactive protein,CRP)、焦虑自评量表(self-rating anxiety scale,SAS)、健康评估问卷(health assessment questionnaire,HAQ)、中医证候积分,并于治疗后评定两组患者的临床疗效。结果治疗后,两组患者的VAS、ESR、CRP、SAS、HAQ及中医证候积分均较治疗前降低(P<0.05,P<0.01),且观察组上述指标均低于对照组(P<0.05,P<0.01)。观察组总有效率为80.00%,高于对照组的55.56%(P<0.01)。结论隔药灸联合中医五行手指操能改善寒湿痹阻型RA患者临床症状,提高患者生存质量。

老年类风湿关节炎患者生活质量、应对方式和关节功能的相关性分析

目的分析老年类风湿关节炎患者生活质量、应对方式和关节功能的相关性,为制定相应护理干预措施提供依据。方法选取2020年3月-2023年3月于中南大学湘雅二医院门诊收治的老年类风湿关节炎患者108例(设为RA组)及108名老年体检健康者(设为健康对照组)作为研究对象。分析老年类风湿关节炎患者生活质量、应对方式和关节功能之间的相关性。结果RA组生活质量的8个维度评分均低于健康对照组(t=81.858、60.514、21.319、22.938、35.195、27.696、53.861和34.435,P<0.05);2组面对评分差异无统计学意义(t=1.643,P>0.05),但RA组回避及屈服评分显著高于健康对照组(t=15.428、10.261,P<0.05);Pearson相关分析显示,RA患者生活质量评分与医学应对方式的面对评分呈正相关(P<0.05),与屈服、回避评分呈负相关(P<0.05);RA患者生活质量评分与VAS评分、DAS28评分、HAQ评分均呈负相关性(P<0.05)。结论老年类风湿关节炎生活质量与应对方式和关节功能密切相关,医护人员应尽早对患者给予针对性的干预措施,提高其生活质量,促使其积极应对疾病,以促进疾病康复。

中医特色护理督脉隔物灸联合中医定向透药对类风湿性关节炎病人的疗效观察

目的:探讨针对类风湿性关节炎(RA)病人应用中医特色护理督脉隔物灸联合中医定向透药的效果。方法:选取2020年2月—2022年3月医院收治的120例类风湿性关节炎病人,采用PENS 3.1统计软件产生随机数字,将随机数字卡装入密封信封中,随机开启,将奇数纳入对照组,偶数纳入观察组,每组60例。两组均采用西药治疗,对照组实施常规护理,观察组在此基础上采用中医特色护理督脉隔物灸联合中医定向透药,两组均持续护理12周。对比两组临床症状、生活质量及护理满意度。结果:观察组护理后关节肿胀指数、关节压痛指数评分低于对照组,晨僵时间短于对照组,差异有统计学意义(P<0.05);观察组护理后生活质量综合评定问卷(GQOLI-74)中的躯体、心理、物质生活、社会功能维度评分高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论:中医特色护理督脉隔物灸联合中医定向透药能够促进类风湿性关节炎病人临床症状恢复,改善生活质量,提升护理满意度。

类风湿性关节炎患者功能障碍康复训练方案分析

目的:分析康复训练在类风湿性关节炎(RA)患者中的应用效果。方法:选取2021年1月—2022年12月北华大学附属医院收治的RA患者80例作为研究对象,按照随机数字表法分为观察组和对照组,各40例。对照组接受常规药物治疗,观察组在对照组基础上实施康复训练。比较两组康复效果。结果:干预后,观察组Lequensne评分,疼痛、僵硬、关节功能丧失评分低于对照组,生理功能、躯体职能、社会功能、总体健康评分高于对照组,差异有统计学意义(P<0.05)。结论:康复训练在RA患者中的应用效果显著,能够缓解疼痛,改善症状,提高生活质量。

自我感受负担在类风湿关节炎患者病耻感和生活质量之间的中介效应

目的:探讨自我感受负担在类风湿关节炎患者病耻感与生活质量之间的中介效应。方法:采用便利抽样法,选取2023年6月至2023年8月在贵州中医药大学第二附属医院风湿免疫科就诊的211例类风湿关节炎患者为研究对象,使用一般资料表、慢性病耻感量表、自我感受负担量表、类风湿关节炎生活质量量表进行调查。结果:类风湿关节炎患者病耻感总分为(71.24±11.84)分,自我感受负担总分为(33.41±4.29)分,生活质量总分为(69.64±12.35)分。病耻感与生活质量呈负相关(r=0.617,P<0.001),自我感受负担与生活质量呈负相关(r=-0.568,P<0.001)。病耻感对生活质量的总效应为-0.595(95%CI=[-0.698,-0.492],P<0.001),直接效应为-0.436(95%CI=[-0.603,-0.268],P<0.001),间接效应为-0.160(95%CI=[-0.308,-0.036],P<0.05),中介效应占比为26.84%。结论:类风湿关节炎患者病耻感、自我感受负担水平较高,生活质量水平较低,病耻感与自我感受负担均是生活质量水平的负向预测因子。病耻感通过自我感受负担间接影响生活质量,提示医务人员应采取有效措施,及时降低类风湿关节炎患者病耻感、自我感受负担水平,进而达到改善生活质量的目标。

个性化功能锻炼在类风湿关节炎患者护理中的应用效果分析

目的:分析个性化功能锻炼在类风湿关节炎患者护理中的应用效果。方法:选取2021年10月—2022年10月南京医科大学附属无锡人民医院收治的78例类风湿关节炎患者作为研究对象,采用抽签法分成研究组与对照组,各39例。对照组予以常规护理,研究组在对照组基础上接受个性化功能锻炼。比较两组生活质量、膝关节功能、护理满意度。结果:干预前,两组社会、情感、认知、角色评分比较,差异无统计学意义(P>0.05);干预3个月后,两组社会、情感、认知、角色评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。干预前,两组膝关节功能量表(HSS)评分比较,差异无统计学意义(P>0.05);干预1个月、2个月、3个月后,两组HSS评分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度高于对照组,差异有统计学意义(P=0.003)。结论:个性化功能锻炼在类风湿关节炎患者护理中的应用效果显著,能改善患者膝关节功能,提升患者生活质量与护理满意度。

授权赋能理论下的健康教育对类风湿性关节炎合并间质性肺炎患者自我效能、生活质量的影响

目的分析授权赋能理论下的健康教育在类风湿性关节炎合并间质性肺炎(RA-IP)患者护理中的效果。方法选取在我院接受治疗的120例RA-IP患者为研究对象,随机将其分为对照组和干预组,各60例。对照组给予常规护理干预,干预组给予授权赋能理论下的健康教育。比较两组的干预效果。结果出院3个月,干预组的关节压痛、关节肿胀、咳嗽咳痰及呼吸困难发生率低于对照组(P<0.05)。出院时,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,一般自我效能感量表(GSES)评分高于对照组(P<0.05)。干预后,干预组的自我护理能力量表(ESCA)、健康状况调查简表(SF-36)各维度评分均高于对照组(P<0.05)。结论授权赋能理论下的健康教育应用于RA-IP患者的护理中能有效缓解关节疼痛,改善呼吸系统症状,调节心理状态,提高自我效能和自我护理能力,并提升生活质量。

家属协同管理模式联合抗阻运动训练对类风湿关节炎患儿生活质量的影响

目的探讨家属协同管理模式联合抗阻运动训练对提高类风湿关节炎患儿生活质量的影响。方法选取2021年2月至2022年12月郑州大学附属儿童医院收治的类风湿关节炎患儿120例,开展前瞻性研究,根据随机数字表法分为常规组和试验组。常规组60例,男26例,女34例,年龄(12.03±1.49)岁,给予传统护理措施。试验组60例,男25例,女35例,年龄(12.15±1.47)岁,采用家属协同管理模式联合抗阻运动训练干预。两组均干预3个月。比较两组患儿干预前后双手握力均值、疼痛及疲劳评分,评估两组患儿干预后生活质量,比较干预后两组患儿的负性情绪评分,并使用满意度评价表调查患儿对干预措施的满意程度。采用χ^(2)检验、t检验进行统计分析。结果干预前,两组患儿双手握力均值、疼痛及疲劳评分比较,差异均无统计学意义(均P>0.05);干预后,试验组患儿双手握力均值高于常规组,疼痛评分和疲劳评分低于常规组(均P<0.05)。干预后,试验组患儿躯体功能、心理功能、健康状况和社会功能评分均高于常规组(均P<0.05)。干预前,两组患儿负性情绪评分指标比较,差异均无统计学意义(均P>0.05);干预后,试验组焦虑自评量表和抑郁自评量表评分分别为(45.17±4.03)分、(41.73±4.46)分,常规组分别为(57.98±5.16)分、(54.74±5.32)分,两组比较差异均有统计学意义(均P<0.05)。试验组患儿对干预措施总满意度[96.67%(58/60)]高于常规组[81.67%(49/60)],差异有统计学意义(χ^(2)=6.988,P=0.008)。结论家属协同管理模式联合抗阻运动训练可提高类风湿关节炎患儿的生活质量,缓解疼痛和疲劳程度,减轻焦虑抑郁情绪,患儿满意度较高。

热痹颗粒治疗活动期类风湿关节炎湿热痹阻型的临床效果分析

目的 分析中药外敷在活动期类风湿关节炎治疗的效果。方法 选取郑州市中医院于2022年12月—2023年12月收治的64例活动期类风湿关节炎湿热痹阻型患者为研究对象,采用随机数表法分为对照组(常规西医法)与观察组(联合热痹颗粒),每组32例。比较两组的疼痛评分、生活质量评分以及治疗效果。结果 治疗前,两组疼痛评分比较,差异无统计学意义(P>0.05);治疗后,观察组疼痛评分[(2.06±0.24)分]低于对照组,差异有统计学意义(t=25.831,P<0.05)。治疗前,两组生活质量评分比较,差异无统计学意义(P均>0.05)。治疗后,观察组生活质量评分高于对照组,差异有统计学意义(P均<0.05)。观察组的治疗总有效率为96.88%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论 中药外敷疗法可有效减轻活动期类风湿关节炎患者的疼痛评分,使其生活质量提升,治疗效果显著。