基于时机理论的健康管理对强直性脊柱炎患者脊柱功能及自我管理能力的影响

目的:探讨时机理论的健康管理对强直性脊柱炎患者脊柱功能及自我管理行为的影响.方法:将70例强直性脊柱炎患者随机分为观察组和对照组,每组35例.对照组给予常规健康管理,观察组在对照组常规健康管理基础上给予基于时机理论的健康管理.在干预前及干预1,3,6个月,采用Bath强直性脊柱炎病情活动指数(BASDAI)评分、Bat...

Effect of Health Management Based on Timing Theory on Spinal Function and Self-management Behavior of Patients with Ankylosing Spondylitis

Objective:To explore the effect of health management based on Timing Theory on spinal function and self-management behavior of patients with ankylosing spondylitis.Methods:Seventy patients with ankylosing spondylitis were randomly divided into an observation group and a control group,with 35 casesin each group.The control group was given routine nursing,and the observation group was given health management based on Timing Theory on the basis of the treatment as in the control group.Before the intervention and 1,3 and 6 months after the intervention,the spinal function of the two groups was evaluated by BASDAI score,BASFI score,BASMI score,and the self-management level of the two groups was evaluated by the chronic disease self-management scale.Results:At the 1,3 and 6 months of follow-up,there were statistical significances between BASDAI score,BASFI score,BASMI score and communication dimension scores with doctors between the two groups(P < 0.05).At the 1,3 and 6 months of follow-up,there were statistical significances in the total score of self-management behavior,exercise and cognitive symptom management dimension scores between the two groups(P > 0.05).Repeated measurement analysis of variance showed that there were statistical significances in BASDAI score,BASFI score,BASMI score,the total scores of self-management behavior and each dimension scores between both groups before intervention and1,3 and 6 months of follow-up(P < 0.05).Conclusion:Health management model based on Timing Theory can effectively improve the spinal function and self-management level of patients with ankylosing spondylitis.It is a chronic disease management model suitable for patients with ankylosing spondylitis.