摘要
目的探讨手关节操质量持续改进对类风湿关节炎(rheumatoid arthritis,RA)疗效的影响。方法选取2020年4—12月在厦门大学附属第一医院治疗的155例RA患者作为研究对象,2020年4—6月收治的75例患者纳入干预前组,未进行手关节操质量持续改进干预;2020年7—12月收治的80例患者纳入干预后组,进行手关节操质量持续改进干预。对比2组关节疼痛个数、关节肿胀个数及疼痛改善情况、手关节功能康复情况、患者满意度、手关节操掌握率。结果训练12周后,干预后组关节疼痛个数、关节肿胀个数分别为(4.75±0.65)个、(5.86±0.52)个,少于干预前组的(5.21±0.72)个、(6.24±0.67)个,数字评定量表评分法(numerical rating scale,NRS)、手功能障碍评分量表(signals of functional impairment,SOFI)评分分别为(1.07±0.22)分、(1.08±0.22)分,低于干预前组的(1.85±0.54)分、(2.54±0.32)分,比较差异均有统计学意义(P<0.05)。干预后组患者日常生活、加深关节操认识、护患沟通及心理健康评分分别为(20.48±2.26)分、(21.15±2.43)分、(20.59±2.21)分及(21.35±2.52)分,高于干预前组的(15.23±2.13)分、(16.32±2.35)分、(16.21±2.11)分及(17.44±2.32)分,差异均有统计学意义(P<0.05)。干预后组手关节操掌握率为81.25%,高于干预前组的61.33%,差异有统计学意义(P<0.05)。结论RA患者手关节操干预期间实施质量持续改进,能够减少关节疼痛及关节肿胀个数,降低疼痛程度,促进功能康复,提高患者满意度和关节操掌握率。
Objective To study influence of the effect of quality continuous improvement of hand discipline on the efficacy of rheumatoid arthritis(RA).Methods A total of 155 patients with RA who were treated at the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University from April to December 2020 were selected as the research subjects.was taken as the study subject. Seventy-five patients admitted from April to June 2020 who did not undergo quality continuous improvement of hand discipline were included in the pre-intervention group, and 80 patients admitted quality continuous improvement of hand discipline from July to December 2020 were included in the post- intervention group. The number of joint pain, the number of joint swelling and the improvement of pain, the rehabilitation of hand joint function, patients' satisfaction and the mastery rate of hand joint exercises were compared between the two groups. Results After 12 weeks of training, the number of joint pain, the number of joint swelling in the post-intervention group were (4.75±0.65) and (5.86±0.52) respectively, which were significantly less than those in the pre-intervention group (5.21±0.72) and (6.24±0.67);the numerical rating scale (NRS) and signals of functional impairment (SOFI) scores were (1.07±0.22) points and (1.08±0.22) points, which were significantly lower than those in the pre-intervention group (1.85±0.54) ponits and (2.54±0.32) points, and the differences were statistically significant (P < 0.05). The scores of patients in daily life, understanding of joint exercises, nurse-patient communication and mental health were (20.48±2.26) points, (21.15±2.43) points, (20.59±2.21) points, and (21.35±2.52) points, which were significantly higher than those in the pre-intervention group (15.23±2.13) points, (16.32±2.35) points, (16.21±2.11) points and (17.44±2.32) points, and the differences were statistically significant (P < 0.05). The mastery rate of hand joint exercises in the intervention group was 81.25%, which was higher than that in the pre-intervention group (61.33%), the difference was statistically significant (P < 0.05). Conclusion The quality continuous improvement during the intervention of hand joint exercises in patients with RA can reduce the number of joint pain and joint swelling, reduce the degree of pain, promote functional rehabilitation, improve patients’ satisfaction and master rate of joint exercises.
作者
连丽娥
陈娟
林绿群
LIAN Li’e;CHEN Juan;LIN Lyuqun(Department of Rheumatology and Immunology,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2025年第5期185-189,共5页
China Health Standard Management
基金
国家自然科学基金资助项目(81771751)。
关键词
质量持续改进
类风湿关节炎
手关节操
疼痛
功能康复
掌握率
quality continuous improvement
rheumatoid arthritis
hand discipline
pain
functional rehabilitation
mastery rate
