系统化健康教育对类风湿性关节炎患者生活质量的影响

目的了解类风湿性关节炎患者的生活质量，通过系统化健康教育提高类风湿性关节炎患者服药依从性，以提高其生活质量。方法将104例类风湿性关节炎患者随机分为研究组（52例）和对照组（52例），两组均进行常规的治疗及护理，研究组在此基础上对患者开展多种形势的健康教育，比较两组患者对疾病相关知识的知晓率，服药依从性及生活质量。结果研究组疾病相关知识知晓率为94．2％，对照组为25．0％，两组比较差异有统计学意义（X^2=33．33，19〈0．01）；服药依从性高于对照组（73．1％比13．5％，X^2=37．64，P〈0．01），两组患者SF-36量表得分的比较差异均有统计学意义（P〈0．01），生活质量改善。结论系统化健康教育能增加患者对药物维持治疗重要性的认识，提高患者服药的依从性和疗效，改善生活质量。

Influence of systematic health education on the quality-of-life of patients with rheumatoid arthritis

Objective To understand the quality-of-life of patients with rheumatoid arthritis and to improve their quality-of-life through improving the compliance of taking drug by applied systematized health education. Methods 104 rheumatoid arthritis patients were randomly enrolled in control group ( n =52) and experimental group (n =52 ), all of which were received general treatment and care. Patients in the experimental group were received comprehensive healthy education, including disease-related knowledge, drug adherence and quality of life. The rate of awareness of disease-related knowledge, compliance of taking drug and quality of life were compared. Results The awareness of disease-related knowledge in experimental group was 94.2％, 25.0％ in control group, there was statistically significant difference ( X2 =33. 33, P ＜ 0. 01 )compliance of taking drug in experimental group was higher than in control group (73. 1％ vs 13.5％ ,X2 =37.64 ,P ＜0. 01 ). the score of SF-36 was the different in the two groups( P ＜0. 01 ). Conclusions Systematic health education can improve the patients' awareness on the importance of drug therapy and subsequent compliance, and enhance the quality of life as well.