摘要
目的探讨全程无缝隙护理在门诊阿达木单抗治疗强直性脊柱炎患者中的应用价值。方法选择2019年6月至2020年6月上海交通大学医学院附属新华医院强直性脊柱炎患者100例,按照奇偶数分组法将其分为观察组和对照组,每组50例。对照组给予常规护理指导,观察组在对照组基础上给予全程无缝隙护理干预模式,比较两组护理前、护理3个月、护理6个月、护理1年的巴氏强直性脊柱炎病情活动指数(BASDAI)、巴氏强直性脊柱炎功能指数(BASFI)、整体疼痛(PGA)评分、护理前后的生活质量调查问卷,以及护理服务满意度。结果整体分析发现:组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组护理3个月、护理6个月、护理1年的BASDAI、BASFI、PGA评分均低于护理前(P<0.05);护理6个月的BASDAI、BASFI、PGA评分均低于护理3个月,护理1年的BASDAI、BASFI、PGA评分均低于护理3个月与护理6个月(P<0.05);组间比较:观察组BASDAI、BASFI、PGA评分低于对照组(P<0.05)。护理后,两组生活质量指标高于护理前,且观察组高于对照组(P<0.05);观察组护理服务满意度高于对照组(P<0.05)。结论全程无缝隙护理干预在门诊阿达木单抗治疗强直性脊柱炎中作用显著,能够有效控制患者病情发展,提升生活质量与护理服务满意度,值得临床推广。
Objective To investigate the application value of whole-course seamless nursing intervention mode in the treatment of patients with ankylosing spondylitis with adamumab in outpatient department.Methods A total of 100 patients with ankylosing spondylitis in Xinhua Hospital Affiliated to Medical College of Shanghai Jiao Tong University from June 2019 to June 2020 were selected.According to the odd and even grouping method,they were divided into observation group and control group,with 50 cases in each group.The control group was given routine nursing guidance,and the observation group was given whole-process seamless nursing intervention mode on the basis of the control group.Bath ankylosing spondylitis metroloty index(BASDAI),bath ankylosing spondyltis functional index(BASFI),patient global assessment(PGA),the 36-item short form health survey,and satisfaction of nursing service were compared between the two groups before,3 months,6 months,and 1 year of nursing.Results Overall analysis showed that there were statistically significant differences between groups,time points and interactions(P<0.05).The BASDAI,BASFI,and PGA of nursing 3 months,6 months,and 1 year in both groups were lower than those before nursing(P<0.05);BASDAI,BASFI,and PGA of nursing for 6 months were lower than those of nursing for 3 months,and BASDAI,BASFI,and PGA of nursing for 1 year were lower than those of nursing for 3 months and nursing for 6 months(P<0.05);comparison between groups:BASDAI,BASFI,and PGA in observation group were lower than those in control group(P<0.05);after nursing,the quality of life index of both groups were higher than before,and the observation group was higher than the control group(P<0.05).Nursing service satisfaction of observation group was higher than control group(P<0.05).Conclusion The whole process of seamless nursing can promote the treatment of ankylosing spondylitis with adalimumab,can control the disease,improve the quality of life and satisfaction,and can be promoted.
作者
夏莹莹
程静
XIA Yingying;CHENG Jing(Department of Pediatric Critical Care Unit,Xinhua Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai 200092,China;Outpatient Comprehensive Care Group,Xinhua Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai 200092,China)
出处
《中国医药导报》
CAS
2022年第22期176-180,共5页
China Medical Herald
关键词
全程无缝隙护理
阿达木单抗
强直性脊柱炎
功能
Seamless nursing throughout the process
Adamumab
Ankylosing spondylitis
Functions
作者简介
通讯作者:程静。
