应对干预对风湿病患者的影响：一项随机对照试验的结果
Effects of a coping intervention on patients with rheumatic diseases: results of a randomized controlled trial.
作者信息
Savelkoul M, de Witte L P, Candel M J, van der Tempel H, van den Borne B
机构信息
Department of Health Education and Promotion, Maastricht University, The Netherlands.
出版信息
Arthritis Rheum. 2001 Feb;45(1):69-76. doi: 10.1002/1529-0131(200102)45:1<69::AID-ANR86>3.0.CO;2-M.
OBJECTIVE
To test the effects (on coping, social interactions, loneliness, functional health status, and life satisfaction) of an intervention aimed at teaching people with rheumatic diseases to cope actively with their problems.
METHODS
A total of 168 patients with chronic rheumatic disorders affecting the joints were randomly assigned to a coping intervention group, a mutual support control group, or a waiting list control group. Measurements were by self-report questionnaires.
RESULTS
Post-intervention measurements showed that the coping intervention increased action-directed coping and functional health status, but these effects did not persist up to 6-months followup. In patients who attended at least half of the 10 sessions, the coping intervention contributed to decreased loneliness at post-intervention and to improvements in social interactions and life satisfaction at 6-months followup.
CONCLUSION
Teaching patients with rheumatic diseases to cope actively with their problems had positive impacts. Consequently it is recommended that the coping intervention be incorporated into regular care. Maintenance sessions are advisable.
目的
测试一项旨在教导风湿性疾病患者积极应对自身问题的干预措施（对应对、社交互动、孤独感、功能健康状况和生活满意度）的效果。
方法
总共168名患有影响关节的慢性风湿性疾病的患者被随机分配到应对干预组、互助对照组或候补名单对照组。通过自我报告问卷进行测量。
结果
干预后的测量结果显示，应对干预增加了行动导向型应对方式和功能健康状况，但这些效果在6个月的随访中并未持续。在至少参加了10次课程中一半课程的患者中，应对干预在干预后有助于减少孤独感，并在6个月的随访中改善社交互动和生活满意度。
结论
教导风湿性疾病患者积极应对自身问题具有积极影响。因此，建议将应对干预纳入常规护理。进行维持课程是可取的。
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