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临床价值.docVIP

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临床价值 　　[摘要] 目的 探?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（P0.05）。两组患者关节炎影响指数量表评分降低（P0.05）。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（P0.05）。观察组患者关节炎影响指数量表评分低于对照组（P0.05）。观察组患者治疗依从性、护理满意度好于对照组（P0.05）。 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。 　　[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 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616（2016）20-100-04 　　Clinical value of collaborative family nursing management model on self-efficacy and life quality in patients with rheumatoid arthritis 　　JIANG Zhiyu 　　Department of Rheumatism， Affiliated Hospital of Changchun University of Traditional Chinese Medicine， Changchun 130021， China 　　[Abstract] 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， e