综合护理干预对类风湿关节炎患者疲乏症状的影响.pdfVIP

2011 1 11 1 23 施春香 (上海市长宁区光华中西医结合医院, 上海 200052) : 探讨综合护理干预对类风湿性关节 ( rheum atoid arthrits, RA)患者疲乏症状与生活质量的 影响 选择 2008年 2月 2009年 5月在我院住院的 RA伴疲乏患者 246例, 在常规护理基础上 进行综合护理干预, 应用疲乏视觉模拟评分( VAS)健康评估问卷(HAQ)和中文版本的健康测量量表 ( SF36),观察干预前后患者疲乏程度与生活质量的变化 综合护理干预 1 个月后患者疲乏程度 明显缓解(P 0. 01), 功能状态好转(P 0. 01), 生活质量也有所提高(P 0. 01) 综合护理干 预后患者的疲乏程度明显缓解, 对改善患者的功能状态及生活质量起到了积极的推动作用 : 类风湿关节 ; 疲乏; 生活质量; 综合护理干预 : R473. 5 : A : 2011) E ffects of comprehensive nursing in tervention on fa tigue in patien ts w ith rheum ato id arthritis (Guang hua H osp ita l of In terg ra ted T rad itiona l Ch inese and W estern M ed icine, Changn ing D istr ic,t Shangha i 200052, Ch ina) SH I Chunx iang Abstract: Objective To study the effects of comprehensive nursing intervention on fatigue and quality of life of patientsw ith rheum atoid arthritis. M ethods A total of 246 patientsw ith rheumatoid arthritisw ere selected in our hosp ital from February 2008 toM ay 2009. A ll the patients received the comprehensive care intervention based on the conventional nursing. The V isual Analogue Score ( VAS), Health Assessment Questionnaire (HAQ), and theCh inese version of36- Item Short Form Health Survey ( SF- 36) wereused to investigate the changes in the patientsfatigue level and quality of life before and after intervention. Resu ts After 1- month intervention, the fatigue levelw as reduced significantly (P 0. 01), the functional statuswas mi proved (P 0. 01), and the quality of lifewas also mi proved (P 0. 01). Conc usion The comprehensive care interven tions can relieve fatigue of patientsw ith rheumatoid arthritis aswell as mi prove their life quality. K ey W ords: Rheumatoid arthritis; Fatigue; Quality of life; Comprehensive care intervention