摘要
目的探讨协同家属护理管理模式对类风湿关节炎患者自我效能和生活质量的临床价值。方法选取本院2012年10月～2014年10月诊治的类风湿关节炎患者156例，采用随机数字表法分为两组，对照组患者78例实施常规护理管理模式，观察组患者78例实施协同家属护理管理模式，于护理前后给予患者关节炎自我效能量表、关节炎影响指数量表、生活质量评价量表、健康促进生活方式评定量表评定。比较两组患者的治疗依从性和护理满意度。结果护理后，两组患者关节炎自我效能量表评分、生活质量评价量表评分（心理因素、生理因素、社会关系、环境影响）、健康促进生活方式评定量表评分（健康责任、营养、压力管理、运动锻炼、人际间支持、自我实现）增加（P〈O．05）。两组患者关节炎影响指数量表评分降低（P〈0．05）。观察组患者关节炎自我效能量表评分、生活质量评价量表评分（心理因素、生理因素、社会关系、环境影响）、健康促进生活方式评定量表评分（健康责任、营养、压力管理、运动锻炼、人际间支持、自我实现）高于对照组（P〈0．05）。观察组患者关节炎影响指数量表评分低于对照组（P〈0．05）。观察组患者治疗依从性、护理满意度好于对照组（P〈0．05）。结论协同家属护理管理模式可改善类风湿关节炎患者的自我效能，提高其生活质量。
Objective To investigate clinical value of collaborative family nursing management model on self- efficacy and life quality in patients with rheumatoid arthritis. Methods 156 patients with rheumatoid arthritis cured in our hospital from October 2012 to October 2014 were selected and divided into two groups according to random number table method.78 patients received routine nursing management model were selected as control group. 78 patients received collaborative family nursing management model were selected as observation group. Arthritis self- efficacy scale, arthritis impact index scale, life quality scale, and health promotion lifestyle scale were evaluated before and after nursing. Treatment compliance and nursing satisfaction of two groups were compared. Results After nursing, arthritis self-efficacy scale, life quality scale （psychological factors, physiological factors, social relations, environmental impact）, health promotion lifestyle scale （health responsibility, nutrition, stress management, exercise, interpersonal support, self-fulfillment） were increased in two groups （P 〈 0.05）. Arthritis impact index scales were decreased in two groups （P 〈 0.05）. Arthritis self-efficacy scale, life quality scale （psychological factors, physiological factors, social relations, environmental impact）, health promotion lifestyle scale （health responsibility, nutrition, stress management, exercise, interpersonal support, self-fulfillment） in observation group were higher than those in control group （P 〈 0.05）. Arthritis impact index scale in observation group was lower than that in control group （P 〈 0.05）. Treatment compliance and nursing satisfaction in observation group were better than those in control group （P 〈 0.05）. Conclusion Collaborative family nursing management model can improve self-efficacy in patients with rheumatoid arthritis. It can also improve life quality.
出处
《中国医药科学》
2016年第20期100-103,共4页
China Medicine And Pharmacy
关键词
协同家属护理管理模式
类风湿关节炎
自我效能
生活质量
Collaborative family nursing management model
Rheumatoid arthritis
Self-efficacy
Life quality
