發(fā)布時間：2018-12-12 21:44

【摘要】：目的調(diào)查類風(fēng)濕性關(guān)節(jié)炎繼發(fā)骨質(zhì)疏松癥患者的生命質(zhì)量,及考察采用慢性病管理的干預(yù)效果。方法納入2013年8月至2016年2月我院風(fēng)濕科治療的類風(fēng)濕性關(guān)節(jié)炎繼發(fā)骨質(zhì)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(zhì)疏松治療,觀察組在常規(guī)抗骨質(zhì)疏松治療基礎(chǔ)上予慢性病管理。通過比較兩組患者的類風(fēng)濕性關(guān)節(jié)炎的類風(fēng)濕因子血沉、C反應(yīng)蛋白以及1年后復(fù)查骨密度情況。采用滿意度調(diào)查以及視覺模擬評分法(VAS)評價患者慢性病管理質(zhì)量及疼痛情況。結(jié)果干預(yù)前,兩組骨質(zhì)疏松及類風(fēng)濕性關(guān)節(jié)炎觀察指標(biāo)無統(tǒng)計學(xué)差異性(P0.05);觀察組干預(yù)后指標(biāo)明顯優(yōu)于對照組;1年后復(fù)查骨密度,對照組骨質(zhì)疏松患者明顯多于觀察組(P0.05)。干預(yù)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(jié)論應(yīng)用慢性病管理模式干預(yù)類風(fēng)濕性關(guān)節(jié)炎繼發(fā)骨質(zhì)疏松癥患者后,能有效減少關(guān)節(jié)疼痛,改善骨質(zhì)疏松及類風(fēng)濕性關(guān)節(jié)炎各項指標(biāo)值,提高了患者的整體生命質(zhì)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

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