摘要
目的：探讨协同家属护理管理模式对类风湿关节炎（ RA）患者自我效能和生活质量的影响。方法选择2012年7—12月接受治疗且符合条件的RA患者86例为对照组,选择2013年7—12月RA患者88例为观察组,对照组实施常规护理,观察组在常规护理的基础上实施协同家属护理管理模式。应用慢性病自我效能表（ CDSES）和生活质量量表（ RAQOL）比较两组患者干预前后的自我效能和干预后的生活质量。结果干预前及干预后6个月分别对两组患者进行评价,两组患者干预前自我效能评分差异无统计学意义（P〉0.05）；干预后观察组患者的自我效能的完成自我管理、一般自我效能、达成结果、应对问题维度得分分别为（6.8±0.7）,（7.4±0.9）,（7.1±0.9）,（7.6±1.0）分,比对照组的（4.9±0.7）,（5.2±0.9）,（5.3±0.7）,（5.1±0.9）分高,差异有统计学意义（t值分别为4.523,3.965,3.569,4.102；P〈0.01）；两组患者干预后自我效能均较干预前有明显提升。观察组患者在生理功能、心理功能、社会功能、健康自我认识能力及总生活质量上的得分分别为（19.9±3.1）,（15.4±2.8）,（21.9±3．2）,（23.1±4.7）,（80.3±11.6）分,高于对照组的（16.8±2.5）,（13.1±2.2）,（18.9±3.0）,（20.2±3.1）,（69.0±6.3）分,差异有统计学意义（t值分别为5.264,4.635,4.265,4.145,3.958；P〈0.01）。结论通过实施协同家属护理管理,增加了患者的自我效能,增强了患者自我管理水平及坚持健康行为的能力,提高了患者的生活质量水平。
Objective To discuss the effect of collaborative family nursing management mode on self-efficacy and quality of life in patients with rheumatoid arthritis （ RA ） . Methods A total of 88 cases of RA patients from July 2013 to December 2013 in our hospital were selected as the observation group, while 86 cases of RA patients from July 2012 to December 2012 in our hospital were selected as the control group, patients in control group received routine nursing, the observation group accepted the basis of conventional nursing cooperative family nursing management mode. Compared the self-efficacy and quality of life between two groups before and after the intervention by the Chronic disease self-efficacy table （ CDSES） and quality of life scale （ RAQOL） . Results Intervention before and 6 months after intervention had been evaluated, respectively, two groups of patients self-efficacy scores before intervention differences had no statistical significance （P〉0. 05）. After the intervention, the scores of every self-efficacy dimensions such as complete self-management, general self-efficacy, achieve the results, deal with problems in the observation group were（6. 8 ± 0. 7）,（7. 4 ± 0. 9）, （7.1 ±0.9） and （7.6 ±1.0）, higher than these of the control group [（4.9 ±0.7）,（5.2 ±0.9）,（5.3 ±0.7）, （5. 1 ± 0. 9）], the differences were statistically significant （t=4. 523,3. 965,3. 569,4. 102, respectively;P〈0. 01）. The self-efficacy of patients after the intervention had improved significantly in both two groups, compared with before. In the observation group, patients in the physiological function, psychological function, social function, healthy self-awareness ability and overall quality of life scores were （19. 9 ± 3. 1）,（15. 4 ±2. 8）,（21. 9 ± 3. 2）,（23. 1 ± 4. 7）,（80. 3 ± 11. 6）, higher than （16. 8 ± 2. 5）,（13. 1 ± 2. 2）,（18. 9 ± 3. 0）, （20.2±3.1）,（69.0±6.3） in the control group, and the differences were statistically significant （t=5.264, 4. 635,4. 265, 4. 145, 3. 958, respectively;P 〈 0. 01 ）. Conclusions The collaborative family nursing management increases the patient′s self-efficacy, enhances the patient self-management level and the ability to adhere health behaviors, and improves the life quality of patients.
出处
《中华现代护理杂志》
2015年第12期1401-1404,共4页
Chinese Journal of Modern Nursing
关键词
类风湿关节炎
自我效能
生活质量
协同护理管理
Rheumatoid arthritis
Self-efficacy
Quality of life
Collaboration nursing management
作者简介
通信作者：王维佳，Emai1：2834559795@qq．com
