摘要
目的 探讨心理干预治疗对于类风湿关节炎病情改善的价值.方法 200例我院住院的类风湿关节炎患者,按随机数字表法分为对照组和干预组,每组1 00例.对照组：按照风湿免疫科常规治疗、护理及宣教；干预组：在对照组的基础上,由一名经过专门培训的护士根据患者情况进行个性化心理干预,出院后通过来院复诊及电话随访进行心理指导.将两组患者在治疗后3个月和6个月采用生命质量量表、疾病活动度评分（DAS28）和实验室指标进行评定.结果 治疗3个月和6个月后生命质量评分、DAS28评分、ESR两组比较有统计学意义（P＜0.01）,治疗前后两组比较CRP无统计学意义（P＞0.01）.结论 心理干预对类风湿关节炎患者治疗效果有明显的提高.
Objective To explore the value of condition improving in psychotherapy for patients with RA. Methods 200 cases of RA patients in our hospital were randomly divided into control groups and interventional groups. Each group has 100 cases. Control groups underwent conventional treatment.care and missionary. On the basis of control group, interventional groups also need a specially trained nurse to conduct individualized psychotherapy and psychological guidance trough visiting to hospital again and telephone follow-up. The two groups were assessed by quality of life scale, disease activity score （DAS28） and laboratory parameters after 3 and 6 months treatment. Results The quality of life sale.DAS28 and ESR were significantly different between two groups after 3 and 6 months treatment （p〈0.01）, while CRP was no significantly different between two groups before and after treatment. Conclusion The effect of Psychological intervention on patients with RA have significantly improved.
关键词
心理干预
类风湿关节炎
治疗效果
Psychological intervention
Rheumatoid arthritis,Effet of treatment
