【摘要】：目的調查類風濕性關節(jié)炎繼發(fā)骨質疏松癥患者的生命質量,及考察采用慢性病管理的干預效果。方法納入2013年8月至2016年2月我院風濕科治療的類風濕性關節(jié)炎繼發(fā)骨質疏松癥患者158例作為研究對象。隨機分為對照組76例與觀察組76例。對照組予常規(guī)抗骨質疏松治療,觀察組在常規(guī)抗骨質疏松治療基礎上予慢性病管理。通過比較兩組患者的類風濕性關節(jié)炎的類風濕因子血沉、C反應蛋白以及1年后復查骨密度情況。采用滿意度調查以及視覺模擬評分法(VAS)評價患者慢性病管理質量及疼痛情況。結果干預前,兩組骨質疏松及類風濕性關節(jié)炎觀察指標無統(tǒng)計學差異性(P0.05);觀察組干預后指標明顯優(yōu)于對照組;1年后復查骨密度,對照組骨質疏松患者明顯多于觀察組(P0.05)。干預后,觀察組患者疼痛評分明顯低于對照組(P0.05),觀察組患者的慢性病管理效果優(yōu)于對照組(P0.05)。結論應用慢性病管理模式干預類風濕性關節(jié)炎繼發(fā)骨質疏松癥患者后,能有效減少關節(jié)疼痛,改善骨質疏松及類風濕性關節(jié)炎各項指標值,提高了患者的整體生命質量,值得臨床廣泛推廣。
[Abstract]:Objective to investigate the quality of life (QOL) of patients with secondary osteoporosis of rheumatoid arthritis (RA) and the intervention effect of chronic disease management. Methods 158 cases of osteoporosis secondary to rheumatoid arthritis treated by rheumatoid arthritis in our hospital from August 2013 to February 2016 were included. They were randomly divided into control group (76 cases) and observation group (76 cases). The control group was treated with routine anti-osteoporosis and the observation group was treated with chronic disease on the basis of routine anti-osteoporosis treatment. Rheumatoid factor ESR, C-reactive protein (CRP) and bone mineral density (BMD) of rheumatoid arthritis (RA) were compared between the two groups. Satisfaction survey and visual analogue score (VAS) were used to evaluate the quality of chronic disease management and pain. Results before intervention, there was no significant difference in the indexes of osteoporosis and rheumatoid arthritis between the two groups (P0.05), and the indexes of the observation group after intervention were significantly better than those of the control group. One year later, the bone mineral density in the control group was significantly higher than that in the observation group (P 0.05). After intervention, the pain score of the patients in the observation group was significantly lower than that in the control group (P0.05), and the effect of chronic disease management in the observation group was better than that in the control group (P0.05). Conclusion the application of chronic disease management model in patients with secondary osteoporosis of rheumatoid arthritis can effectively reduce joint pain, improve the index values of osteoporosis and rheumatoid arthritis, and improve the overall quality of life of the patients. It is worth popularizing widely in clinic.
【作者單位】： 惠州市中心人民醫(yī)院;
【分類號】：R580;R593.22

【相似文獻】

相關期刊論文 前7條

1 劉喜鳳;朱紅英;袁淑琴;李園園;;特點社區(qū)慢性病危險因素干預探討[J];當代醫(yī)學;2011年24期

2 馬春萍;;糖尿病慢性病管理在農村社區(qū)應用體會[J];基層醫(yī)學論壇;2014年20期

3 龔燕青;王珍;楊妍妍;潘蓉;田凌云;劉麗娟;;國外老年人常見慢性病自我管理有效性的循證依據(jù)[J];國際老年醫(yī)學雜志;2010年01期

4 王珍;張紅;沈旭慧;金巋立;葉國芬;;運用慢性病管理模式在社區(qū)開展糖尿病前期健康教育的體會[J];國際老年醫(yī)學雜志;2010年02期

5 王燕寧;;糖尿病合并高血壓社區(qū)服務站就診患者30例分析[J];中國社區(qū)醫(yī)師(醫(yī)學專業(yè));2010年21期

6 李小云;鐘克丹;林景丹;劉芳;;廣州市海珠區(qū)社區(qū)中老年人群肥胖與慢性病關系研究[J];護理學報;2009年21期

7 李崢;沙月琴;張博學;朱凌;康軍;;參加社區(qū)慢性病管理的糖尿病患者牙周健康狀況調查及相關因素分析[J];中華口腔醫(yī)學雜志;2007年02期

相關會議論文 前1條

1 林燕萍;;從慢性病管理看哮喘個體化治療[A];第六次全國中西醫(yī)結合變態(tài)反應學術大會論文匯編[C];2013年

相關碩士學位論文 前3條

1 李艷嬌;昆明市與合艾市高血壓及糖尿病患者社區(qū)管理現(xiàn)狀的比較研究[D];昆明醫(yī)科大學;2016年

2 陳泓宇;上海市楊浦區(qū)2型糖尿病的社區(qū)管理情況調查分析[D];上海交通大學;2015年

3 毛勝男;基于慢性病管理模型的社區(qū)代謝綜合征干預研究[D];浙江大學;2017年

，

本文編號：2375295