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护理干预可减轻类风湿关节炎患者的抑郁症状:一项随机对照试验方案。

Nursing intervention reduces depression for patients with rheumatoid arthritis: A randomized controlled trial protocol.

作者信息

Liu Moying, Shi Baoxin

机构信息

School of Nursing, Tianjin Medical University, Tianjin, China.

出版信息

Medicine (Baltimore). 2020 Nov 20;99(47):e23268. doi: 10.1097/MD.0000000000023268.

Abstract

BACKGROUND

Rheumatoid arthritis (RA) is a kind of chronic disease of inflammatory joint, which can lead to the damage and disability of bone and cartilage. Psychiatric comorbidity is related to the adverse results of RA. Symptoms of depression is associated with the increased disease activity and decreased response to the treatments. Therefore, the depression may be an effective intervention target to improve the life quality and subjective health of the patients with RA. The objective of this experiment is to evaluate the effectiveness of nursing intervention for reducing depression for patients with RA.

METHOD

It is a single-center randomized controlled study to be conducted from January 2021 to December 2021. It was admitted via the Ethics Committee of Tianjin Medical University (202018384). One hundred patients are included in the study. The inclusion criteria contains:The exclusion criteria contains:All the patients participating in this study are randomly divided into control group and study group, with 50 patients in each group. The primary result is the severity of depression in the patients with RA, based on the generally utilized questionnaires (Hospital Anxiety and Depression Scale). The secondary outcome is the patients life quality, which is evaluated with the short form 36 questionnaire. The analysis of all the data are conducted with the software of IBM SPSS Statistics for Windows, version 20.

RESULTS

Table will show the clinical outcomes after various interventions.

CONCLUSION

This paper instructs the nurses to develop protocol based on evidence to improve the clinical efficacy for the RA patients.

TRIAL REGISTRATION NUMBER

researchregistry6114.

摘要

背景

类风湿关节炎(RA)是一种炎症性关节慢性病,可导致骨骼和软骨损伤及残疾。精神共病与RA的不良后果相关。抑郁症状与疾病活动增加及治疗反应降低有关。因此,抑郁可能是改善RA患者生活质量和主观健康的有效干预靶点。本实验的目的是评估护理干预对减轻RA患者抑郁的有效性。

方法

这是一项于2021年1月至2021年12月进行的单中心随机对照研究。经天津医科大学伦理委员会批准(202018384)。100名患者纳入研究。纳入标准包括:排除标准包括:所有参与本研究的患者随机分为对照组和研究组,每组50例。主要结果是基于常用问卷(医院焦虑抑郁量表)评估RA患者的抑郁严重程度。次要结果是用简明健康状况调查问卷评估患者的生活质量。所有数据的分析使用IBM SPSS Statistics for Windows 20版软件进行。

结果

表格将展示各种干预后的临床结果。

结论

本文指导护士制定循证方案以提高RA患者的临床疗效。

试验注册号

researchregistry6114。

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The multifaceted impact of anxiety and depression on patients with rheumatoid arthritis.
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Nursing sensitive outcomes in patients with rheumatoid arthritis: A systematic literature review.
Int J Nurs Stud. 2018 Jan;77:115-129. doi: 10.1016/j.ijnurstu.2017.09.005. Epub 2017 Sep 12.
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Rheumatoid vasculitis: early presentation of rheumatoid arthritis.
BMJ Case Rep. 2016 Nov 8;2016:bcr2016217557. doi: 10.1136/bcr-2016-217557.

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