协同家属护理模式配合健康宣教对类风湿关节炎患者自护能力及生活质量的影响

Effect of Collaborative Family Nursing Model Combined with Health Education on Self-Care Ability and Quality of Life in Patients with Rheumatoid Arthritis

摘要: 目的：探讨协同家属护理模式配合健康宣教对类风湿关节炎(Rheumatoid arthritis, RA)患者自护能力及生活质量的影响。方法：选取2017年5月~2018年5月在本院诊治的RA患者108例为研究对象，根据随机数字表法随机分为观察组(n = 54)和对照组(n = 54)。观察组采用协同家属护理模式——健康宣教干预，对照组采用常规护理干预。比较两组干预前后自我护理能力、关节肿胀数、关节压痛数、晨僵时间、生活质量及护理满意度。结果：干预后，观察组自我护理能力测定量表(Exercise of self-care agency scale, ESCA)各维度评分及自护能力总评分高于对照组，差异有统计学意义(P < 0.05)；干预后，观察组关节肿胀数、关节压痛数少于对照组，晨僵时间短于对照组，差异均有统计学意义(P < 0.05)；干预后，观察组生活质量量表(Rheumatoid Arthritis Quality of Life, RAQOL)各维度评分及总生活质量评分高于对照组，差异有统计学意义(P < 0.05)；观察组总满意度高于对照组，差异有统计学意义(P < 0.05)。结论：协同家属护理模式配合健康宣教可有效提高RA患者自护能力，改善临床症状，提高生活质量及护理满意度。

Abstract: Objective: To explore the effect of collaborative family nursing model combined with health educa-tion on self-care ability and quality of life in patients with rheumatoid arthritis (RA). Methods: 108 RA patients in the hospital from May 2017 to May 2018 were selected in the study. They were randomly divided into observation group (n = 54) and control group (n = 54) according to the random number table method. The observation group was treated with the collaborative family nursing model combined with health education intervention; the control group was treated with routine nursing intervention. The self-care ability, number of joint swelling, number of joint tenderness, morning stiffness time, quality of life and nursing satisfaction in the two groups were compared before and after intervention. Results: After the intervention, each dimension score of exercise of self-care agency scale (ESCA) and the total score of self-care ability in the observation were higher than those in the control group (P < 0.05). After the intervention, the number of joint swelling and the number of joint tenderness in the observation group were less than those in the control group; the morning stiffness time was shorter than that in the control group (P < 0.05). After the intervention, each dimension score of Rheumatoid Arthritis Quality of Life (RAQOL) and the total quality of life scores in the observation group were higher than those in the control group (P < 0.05); the total satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion: Collaborative family nursing model combined with health education can effectively improve the self-care ability of RA patients, improve clinical symptoms, and improve quality of life and satisfaction of nursing.