摘要
目的探讨全程管理模式在类风湿关节炎行生物制剂治疗患者中的应用效果。方法采用类实验研究设计方法,2021年8月-2022年4月的48例患者为对照组,2022年4月-2022年12月的46例患者为实验组。观察两组患者生物制剂治疗依从性以及患者的满意度。结果实验组在患者治疗覆盖天数比例上明显优于对照组,差异有统计学意义(P<0.05);在患者满意度调查中,实验组患者对于护士接待速度及护士健康宣教内容及能力上的满意度明显高于对照组,差异有统计学意义(P<0.05),在护士态度及护士技术上的满意度无统计学意义(P>0.05)。干预前生活质量(P>0.05),干预后实验组生活质量评分较高(P<0.05)。干预前希望水平、睡眠质量(P>0.05),干预后实验组HHI评分较高、PSQI评分较低(P<0.05)。干预前心理状态(P>0.05),干预后实验组HAMA评分、HAMD评分较低(P<0.05)。结论通过全程化管理可提高类风湿关节炎患者生物制剂治疗依从性,优化治疗效果,有利于对患者进行规范的管理,保证用药的安全性,同时提升患者的就医满意度。
Objective:To explore the application effect of the full process management model in the treatment of rheumatoid arthritis patients with biological agents.Method:A quasi experimental study design method was adopted,with 48 patients from August 2021 to April 2022 as the control group and 46 patients from April 2022 to December 2022 as the experimental group.Observe the compliance of two groups of patients with biologic therapy and their satisfaction.Result:The experimental group had a significantly better proportion of patient treatment coverage days than the control group,with a statistically significant difference(P<0.05);In the patient satisfaction survey,the satisfaction rate of the experimental group patients with nurse reception speed,nurse health education content and ability was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant satisfaction rate in nurse attitude and nurse skills(P>0.05).Quality of life before intervention(P>0.05),and after intervention,the experimental group had a higher quality of life score(P<0.05).Before intervention,the level of hope and sleep quality(P>0.05)were observed.After intervention,the experimental group had a higher HHI score and a lower PSQI score(P<0.05).The psychological state before intervention(P>0.05),and after intervention,the HAMA and HAMD scores of the experimental group were lower(P<0.05).Conclusion:Full process management can improve the compliance of rheumatoid arthritis patients with biologic therapy,optimize treatment outcomes,facilitate standardized management of patients,ensure medication safety,and enhance patient satisfaction with medical treatment.
作者
徐任菊
陈雁
卞文娟
严晶
朱曼莉
Xu Renju;Chen Yan;Bian Wenjuan;Yan Jing;Zhu Manli(Department of Rheumatology and Immunology,Gulou Clinical School of Medicine,Jiangsu University;Nanjing Gulou Hospital)
出处
《生命科学仪器》
2023年第6期147-150,共4页
Life Science Instruments
关键词
全程管理
类风湿关节炎
生物制剂
治疗依从性
满意度
Full process management
Rheumatoid arthritis
Biological agents
Treatment compliance
Satisfaction
作者简介
通讯作者:陈雁
