延续性护理对类风湿性关节炎患者自我效能和自我护理能力的影响-临床护理进展-CSCIED科技核心评价数据库-手机版

延续性护理对类风湿性关节炎患者自我效能和自我护理能力的影响

The effect of continuous nursing on self-efficacy and self-care ability of patients with rheumatoid arthritis

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DOI	10.12208/j.jacn.20220175
刊名	临床护理进展 Journal of Advances in Clinical Nursing
年，卷(期)	2022, 1(4)
作者	陈红敏*,
作者单位	义乌市中心医院康复科浙江义乌 ;
摘要	探讨延续性护理对类风湿关节炎患者自我效能和自我护理能力的影响。方法选取选取2020年4月至2021年6月我院类风湿关节炎住院患者60例为研究对象，随机分为对照组与观察组各30例。对照组予以常规护理；观察组在常规护理基础上实施延续性护理干预，于入院时、出院6月比较两组病人类风湿关节炎相关指标（红细胞沉降率、Ｃ反应蛋白、类风湿因子）变化；采用视觉模拟评分法（VAS）及医学应对方式问卷（MCMQ）、中文版类风湿关节炎自我效能量表（Rheumatoid Arthritis Self-Efficacy Scale, RASE）、自我护理能力量表（ESCA），评价患者的自我效能及自我护理能力。结果入院时两组患者自我效能、自我护理能力评分无差异（P＞0.05），出院后6月患者自我效能、自我护理能力评分高于入院时（P＜0.05），研究组自我效能、自我护理能力评分高于对照组（P＜0.05）。研究组和对照组病人的类风湿关节炎相关指标在干预前后无显著相关。结论延续性护理能显著改善类风湿关节炎患者自我效能，提高患者的自我护理能力。
Abstract	Objective To explore the effect of continuous nursing on self-efficacy and self-care ability of patients with rheumatoid arthritis. Methods A total of 60 inpatients with rheumatoid arthritis in our hospital from April 2020 to June 2021 were selected as the research objects, and they were randomly divided into the control group and the observation group with 30 cases in each group. The control group received routine nursing; the observation group received continuous nursing intervention on the basis of routine nursing, and the changes of rheumatoid arthritis-related indicators (erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor) were compared between the two groups at the time of admission and 6 months after discharge. ; Using Visual Analogue Scale (VAS), Medical Coping Style Questionnaire (MCMQ), Chinese version of Rheumatoid Arthritis Self-Efficacy Scale (Rheumatoid Arthritis Self- Efficacy Scale, RASE), Self-Care Ability Scale (ESCA) to evaluate patients self-efficacy and self-care abilities. Results There was no difference in the scores of self-efficacy and self-care ability between the two groups at admission (P>0.05). The scores of self-efficacy and self-care ability of patients 6 months after discharge were higher than those at admission (P<0.05). The ability score was higher than that of the control group (P<0.05). There was no significant correlation between the rheumatoid arthritis-related indicators in the study group and the control group before and after the intervention. Conclusion Continuous nursing can significantly improve the self-efficacy and self-care ability of patients with rheumatoid arthritis.
关键词	类风湿关节炎；延续性护理；自我效能；自我护理能力；红细胞沉降率；Ｃ反应蛋白；类风湿因子
KeyWord	Rheumatoid arthritis; continuous care; self-efficacy; self-care ability; erythrocyte sedimentation rate; C-reactive protein; rheumatoid factor
基金项目
页码	99-103

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引用本文

陈红敏*. 延续性护理对类风湿性关节炎患者自我效能和自我护理能力的影响 [J]. 临床护理进展. 2022; 1; (4). 99 - 103.

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