对类风湿关节炎患者开展延续护理服务的效果研究

目的 探讨对类风湿关节炎患者开展延续护理服务的效果.方法 将117例类风湿关节炎患者随机分为对照组60例和实验组57例.对照组采用门诊随访,传统应答措施;实验组参照凯特洛列的ASMP教程进行知识宣教,采用现场示范,护患沟通,病友交流,录像播放,电话随访与支持等形式开展延续护理服务.采用χ2检验比较2组患者的疼痛程度、疾病知识认知程度、运动锻炼的频率,医嘱依从性,再住院率,关节畸形患者的生活自理能力.结果 实验组在疼痛程度、知识认知程度、运动锻炼频率、医嘱依从性、再住院率、生活自理能力方面均显著优于对照组.结论 对类风湿关节炎患者开展延续护理服务有助于改善患者的预后.

Research in effect of continuing nursing care on patients with rheumatoid arthritis

Objective To discuss the effect of continuing nursing care on patients with rheumatoid arthritis. Methods 117 patients with rheumatoid arthritis were divided into the control group (60 pa-tients) and the experimental group(57 patients). The control group adopted clinic follow-up visit and rou-tine responding measures. The experimental group was given knowledge education according to the ASMP course, which included demonstration,nurse-patient communication,communication between patients, video show, telephone follow-up and support, etc. The degree of pain,cognition degree of disease knowledge, fre-quency of physical exercises,compliance with doctor's advice, readmission rate and self-care ability of pa-tients with joint deformity were compared by χ2 test between the two groups. Results The experimental group was superior to the control group in the following aspects, such as degree of pain,cognition degree of disease knowledge, frequency of physical exercises,compliance with doctor's advice, readmission rate and self-care ability. Conclusions Application of continuing nursing care in patients with rheumatoid arthri-tis contribute to the prognosis of patients.