文献类型：期刊文献

中文题名：互联网平台互动慢病管理模式对类风湿关节炎患者预后的影响

英文题名：Effect of Interactive Chronic Disease Management Mode on Internet Platform on the Prognosis of Patients with Rheumatoid Arthritis

作者：许振丹[1];范文强[1];吴洁[1];徐艳[2];李利[1]

第一作者：许振丹

机构：[1]新乡市中心医院新乡医学院第四临床学院新乡市风湿免疫性疾病慢病管理重点实验室,河南新乡453000;[2]新乡学院护理学院

第一机构：新乡市中心医院新乡医学院第四临床学院新乡市风湿免疫性疾病慢病管理重点实验室,河南新乡453000

年份：2023

卷号：29

期号：15

起止页码：17-20

中文期刊名：齐鲁护理杂志

外文期刊名：Journal of Qilu Nursing

基金：河南省医学科技攻关计划项目(编号:LHGJ20210896);河南省医学教育研究项目(编号:Wjlx2020423)。

语种：中文

中文关键词：互联网平台;互动慢病管理模式;类风湿关节炎;满意度

外文关键词：Internet platform;Interactive chronic disease management mode;Rheumatoid arthritis;Satisfaction

摘要：目的:探讨互联网平台互动慢病管理模式对类风湿关节炎(RA)患者预后的影响。方法:选取2021年1月1日~2022年3月1日收治的102例RA患者作为研究对象,按照随机数字表法分为观察组和对照组各51例,对照组实施常规护理干预,观察组实施互联网平台互动慢病管理模式;比较两组不同时间疾病活动度[包括28个关节计数法(DAS28)、临床疾病活动指数(CDAI)、简化的疾病活动指数(SDAI)]、疼痛[采用视觉模拟疼痛评分(VAS)]、健康状况[采用健康评价问卷(HAQ)]、焦虑[采用焦虑自评量表(SAS)]、服药依从性,护理满意度。结果:重复测量方差分析显示,两组DAS28、CDAI、SDAI、VAS、HAQ、SAS评分比较差异均有统计学意义(P<0.01),且观察组低于对照组(P<0.01);随访3、6、9、12个月,观察组服药依从率高于对照组(P<0.05),且护理满意度高于对照组(P<0.05)。结论:将互联网平台互动慢病管理模式应用于RA患者中,有利于控制病情进展,减轻患者焦虑情绪,从而提高服药依从性。
Objective:To explore the effect of interactive chronic disease management mode on internet platform on the prognosis of patients with rheumatoid arthritis.Methods:A total of 102 patients with rheumatoid arthritis admitted from January 1,2021 to March 1,2022 were selected as the research subjects and were by the random number table method divided into the observation group and the control group,with 51 patients in each group.The control group adopted routine nursing intervention,and the observation group adopted internet platform interactive chronic disease management mode.Comparison was made between the two groups on different disease activity in different time including 28 joints counting method(DAS28),clinical disease activity index(CDAI),simplified disease activity index(SDAI),pain using visual analog pain score(VAS),health by health assessment questionnaire(HAQ),anxiety by the self-rating anxiety scale(SAS),medication compliance and nursing satisfaction.Results:Repeated measurement analysis of variance showed that the DAS28,CDAI,SDAI,VAS,HAQ,and SAS scores in both groups had significant differences(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).At follow-up of 3,6,9 and 12 months,the medication adherence rate in the observation group was higher than that in the control group(P<0.05),and the nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:The application of interactive chronic disease management mode on internet platforms in patients with rheumatoid arthritis can help to control disease progression,reduce anxiety,and improve medication compliance.