The impact of precision care based on health behavior interaction on pain severity and quality of life in patients with rheumatoid arthritis
以健康行为互动为框架的精准护理对类风湿性关节炎患者疼痛程度及生活质量的影响

摘要

目的 探讨健康行为互动为框架的精准护理对类风湿性关节炎患者疼痛程度及生活质量的影响。方法 研究对象为本院300例类风湿性关节炎，经随机数字表法分为各150例的两组，对照组实施常规护理，研究组以健康行为互动为框架的精准护理，对比疼痛程度、生活质量。结果 与护理前比较，护理后1周、出院时、出院后随访2周的疼痛评分呈现出逐渐降低趋势，研究组较对照组更低（P<0.05）。与护理前相比较，两组护理后的生理职能、情感职能、社会功能、健康自我认知评分均增加（P<0.05）；研究组护理后的生理职能评分、社会功能评分均高于对照组（P<0.05），两组护理后的情感职能、健康自我认知评分比较差异无统计学意（P＞0.05）。结论 以健康行为互动为框架的精准护理能有效降低类风湿性关节炎患者的疼痛程度，提升生活质量。

Abstract

Objective To explore the impact of precise nursing based on the framework of health behavior interaction on the pain level and quality of life of patients with rheumatoid arthritis.
Methods The research subjects were 300 patients with rheumatoid arthritis in our hospital. They were randomly divided into two groups of 150 each using a random number table. The control group received routine care, while the study group received precise nursing based on the framework of health behavior interaction. The pain level and quality of life were compared.
Results Compared with before the care, the pain scores at 1 week after care, at discharge, and 2 weeks after discharge and follow-up showed a gradually decreasing trend. The pain scores of the study group were lower than those of the control group (P < 0.05). Compared with before the care, the scores of physiological function, emotional function, social function, and health self-awareness in both groups increased after care (P < 0.05). The scores of physiological function and social function in the study group after care were higher than those in the control group (P < 0.05). There was no statistically significant difference in the scores of emotional function and health self-awareness between the two groups after care (P > 0.05).
Conclusion   Precise nursing based on the framework of health behavior interaction can effectively reduce the pain level and improve the quality of life of patients with rheumatoid arthritis.