Clinical practice and effect evaluation of specialized nurses-guided self-management for patients with ankylosing spondylitis
10.3760/cma.j.issn.1674-2907.2019.18.004
- VernacularTitle:专科护士指导强直性脊柱炎患者自我管理的临床实践及效果评价
- Author:
Xia CHEN
1
;
Sisi CHEN
;
Zhongke LIN
;
Jie LI
Author Information
1. 温州医科大学附属第二医院D15脊柱外科,温州 325000
- Keywords:
Spondylitis,ankylosing;
Quality of life;
Self-management;
Physical function;
Mental state;
Health education;
Specialized nurse
- From:
Chinese Journal of Modern Nursing
2019;25(18):2261-2266
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the clinical practice and effect evaluation of specialized nurses-guided self-management for patients with ankylosing spondylitis (AS). MethodsA total of 92 AS patients treated in the 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University from July 2016 to July 2017 were selected by convenient sampling and divided into the treatment group (n=47) and the control group (n=45) according to the random number table. Patients in the treatment group underwent self-management for 12 weeks under the guidance of specialized nurses, while patients in the control group received conventional health education by specialized nurses. Physical function, quality of life and mental stress were compared between the two groups. ResultsThe Bath Ankylosing Spondylitis Metrology Index (BASMI), function index scores and measurement index scores of the treatment group were lower than those of the control group, and there were statistically significant differences between the two groups (t=9.15, 7.69, 12.24; P＜0.01); the Ankylosing Spondylitis Quality of Life (ASQoL) score of the treatment group was lower than that of the control group, and there was statistically significant difference between the two groups (t=6.37, P＜0.01); the scores of anxiety and depression in the hospitalization-associated anxiety and depression scale of the treatment group were lower than those of the control group (t=10.69, 10.96; P＜0.01). ConclusionsThe practice of specialized nurses-guided self-management in AS patients can improve patients' physical function and quality of life and reduce their anxiety and depression.
