基于微信公众号的延续护理对尪痹患者生活质量影响的研究
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摘要
目的在常规护理的基础上,探讨基于微信公众号的延续护理对尪痹患者晨僵时间、关节疼痛及生存质量的影响。方法选择2018年1—6月上海市光华中西医结合医院治疗的60例尪痹患者,出院时对入组患者依据随机数字表法将其分为观察组和对照组各30例,对照组给予常规的出院健康宣教,观察组则借助微信平台为患者提供延续化护理,通过在线远程协助的方法对患者日常康复行为进行指导,3个月后比较两组患者晨僵时间、全身关节疼痛程度及生活质量影响。结果观察组患者出院后3个月的生活质量各维度评分及总分明显高于对照组(P<0.01),观察组晨僵时间短于对照组(P<0.05),观察组关节疼痛评分低于对照组(P<0.05),差异有统计学意义。结论基于微信平台的延续护理服务模式有利于尪痹患者的康复治疗,可减轻疼痛,提高生活质量。
Objective To observe the effect of continuing nursing based on WeChat public platform on patients with rheumatoid arthritis in morning stiffness time, joint pain and quality of life. Methods 60 patients with rheumatoid arthritis who were received in Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine from January to June 2018 were recruited. Once discharged, they were randomly assigned to control group(n=30) and observation group(n=30) according to the random number table method. All the patients adopted the health education program. Additionally, patients in observation group are also engaged in continuing nursing based on WeChat public platform, which can guide
routine rehabilitation online. All patients were evaluated with morning stiffness time, joint pain and quality of life after 3 months. Results The scores of all dimensions and total scores of QOL in the observation group were significantly higher than those in the control group 3 months after discharge(P < 0.01). Morning stiffness time of observation group was shorter than that of control group(P < 0.05). The joint pain score of the observation group was lower than that of the control group(P < 0.01), and the difference was statistically significant. Conclusion The continuing nursing based on WeChat public platform is beneficial to the rehabilitation treatment of patients with rheumatoid arthritis, which can alleviate joint pain and improve the quality of life.
Objective To observe the effect of continuing nursing based on WeChat public platform on patients with rheumatoid arthritis in morning stiffness time, joint pain and quality of life. Methods 60 patients with rheumatoid arthritis who were received in Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine from January to June 2018 were recruited. Once discharged, they were randomly assigned to control group(n=30) and observation group(n=30) according to the random number table method. All the patients adopted the health education program. Additionally, patients in observation group are also engaged in continuing nursing based on WeChat public platform, which can guide
routine rehabilitation online. All patients were evaluated with morning stiffness time, joint pain and quality of life after 3 months. Results The scores of all dimensions and total scores of QOL in the observation group were significantly higher than those in the control group 3 months after discharge(P < 0.01). Morning stiffness time of observation group was shorter than that of control group(P < 0.05). The joint pain score of the observation group was lower than that of the control group(P < 0.01), and the difference was statistically significant. Conclusion The continuing nursing based on WeChat public platform is beneficial to the rehabilitation treatment of patients with rheumatoid arthritis, which can alleviate joint pain and improve the quality of life.
引文
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[11]郭粉莲,蔡旭,叶志中,等.类风湿关节炎生存质量评估与疗效关系研究[J].护理研究,2015,29(10):1210-1211.
[12]王佳,郝飞,付诗.微信平台在乳腺癌术后输液港化疗患者延伸护理中的应用[J].护理学杂志,2016,31(8):91-93.
[2]郭艺,陈祖琨.中医特色护理技术在类风湿性关节炎中的应用现状[J].全科护理,2016,14(19):1971-1973.
[3]Kaur S,Bright R,Proudman SM,et al.Does periodontal treatment influence clinical and biochemical measures for rheumatoid arthritis a systematic review and meta-analysis[J].Seminars in Arthritis and Rheumatism,2014,44(2):113-122.
[4]傅萍,李国青,刘丹,等.延续性护理干预对类风湿性关节炎伴骨质疏松患者疼痛及生活质量的影响[J].护理实践与研究,2018,15(16):153-155.
[5]王秀丽,唐玉萍,孙树萍,等.类风湿关节炎患者功能锻炼现状及影响因素分析[J].护士进修杂志,2016,31(5):442-444.
[6]余新翠.运用微信平台延伸护理服务对类风湿关节炎患者的影响[J].中华全科医学,2017,15(8):1444-1446.
[7]徐晴岩.八段锦运动疗法对人体功效的研究进展[J].按摩与康复医学,2018,9(20):85-87.
[8]周龙川,周芳珍,农玉贤,等.艾司西酞普兰联合认知行为治疗对广泛性焦虑患者治疗依从性及生活质量的影响[J].医学理论与实践,2016,29(2):162-164.
[9]Woodforde JM,Merskey H.Some relationships between subjective measures of pain[J].J Psychosom Res,1972,16(3):173-178.
[10]傅根莲,戴杏娟,刘晓霞.类风湿关节炎患者延续护理需求调查及影响因素分析[J].中国护理管理,2015,15(6):729-733.
[11]郭粉莲,蔡旭,叶志中,等.类风湿关节炎生存质量评估与疗效关系研究[J].护理研究,2015,29(10):1210-1211.
[12]王佳,郝飞,付诗.微信平台在乳腺癌术后输液港化疗患者延伸护理中的应用[J].护理学杂志,2016,31(8):91-93.