预见性护理在类风湿关节炎门诊随访患者中应用的效果观察

目的：探讨预见性护理在类风湿关节炎（RA）门诊随访患者中的作用.方法：将110例RA门诊随访患者随机分为对照组50例和观察组60例,对照组接受常规护理,观察组接受心理、药物不良反应、关节功能锻炼、日常生活保健四项预见性护理,分别于随访3、6个月后比较2组患者疗效的负性因素差异及RA病情缓解情况.结果：观察组随访6个月的负性因素均少于对照组（P〈0.05~P〈0.01）;随访3、6个月,观察组心理抑郁状况、类风湿关节炎疾病活动性评分改善均明显优于对照组（P〈0.01）.结论：预见性护理降低了RA患者负性因素影响,保证了治疗顺利进行,提高了治疗质量.

The effect of foreseeable nursing on outpatient follow-up patients with rheumatoid arthritis

Objective ：To explore the effects of foreseeable nursing on outpatient follow-up patients with rheumatoid arthritis （RA）. Methods：One hundred and ten outpatient follow-up patients with RA were randomly divided into control group （50 cases） and observation group （ 60 cases）. The control group were nursed with routine care, the observation group were treated with foreseeable nursing（ including psychology, adverse drug reactions, joint functional exercise and daily health care）. The influencing factors on negative factor difference and RA remission in two groups were compared after following up for 3 and 6 months. Results：After following up for 6 months, the negative factors of observation group were less than that of control group （P 〈 0.05 to P 〈 0.01 ）, the psychological depression and DAS28 score improvement of observation group were significantly better than that of control group （ P 〈 0.01 ）. Conclnsions：The foreseeable nursing can reduce the negative factors of follow-up patients with RA, ensure the smooth treatment and improve the quality of treatment.