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家庭照顾者护理教育对类风湿关节炎患者的影响及其影响因素:一项随机对照试验。

Effect of family caregiver nursing education on patients with rheumatoid arthritis and its impact factors: A randomized controlled trial.

作者信息

Li Jing, Zhang Ying, Kang Ya-Juan, Ma Nan

机构信息

Department of Immunology and Rheumatology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China.

出版信息

World J Clin Cases. 2021 Oct 6;9(28):8413-8424. doi: 10.12998/wjcc.v9.i28.8413.

Abstract

BACKGROUND

Rheumatoid arthritis (RA) is a common autoimmune disease. Nursing education for family caregivers is considered a workable and effective intervention, but the validity of this intervention in RA has not been reported.

AIM

To explore whether family caregiver nursing education (FCNE) works on patients with RA and the factors that influence FCNE.

METHODS

In this randomized controlled study, a sample of 158 pairs was included in the study with 80 in the intervention group and 78 in the control group. Baseline data of patients and caregivers was collected. The FCNE intervention was administered to caregivers, and inflammation level indicators, disease activity indicators and mood disorder indicators of patients were followed up and analyzed.

RESULTS

Baseline characteristics of the intervention and the control groups had no significant difference. Indicators were significantly reduced in the intervention group compared to the control group. The intervention group showed significant differences in stratification of relationship, education duration and age.

CONCLUSION

The effect of FCNE on RA is multifaceted, weakening inflammation level, alleviating disease activity and relieving mood disorder. Relationship between caregiver and patient, caregiver's education level and patient's age may act as impact factors of FCNE.

摘要

背景

类风湿关节炎(RA)是一种常见的自身免疫性疾病。对家庭照顾者进行护理教育被认为是一种可行且有效的干预措施,但这种干预措施在类风湿关节炎中的有效性尚未见报道。

目的

探讨家庭照顾者护理教育(FCNE)对类风湿关节炎患者是否有效以及影响家庭照顾者护理教育的因素。

方法

在这项随机对照研究中,纳入了158对样本,干预组80对,对照组78对。收集了患者和照顾者的基线数据。对照顾者实施家庭照顾者护理教育干预,并对患者的炎症水平指标、疾病活动指标和情绪障碍指标进行随访分析。

结果

干预组和对照组的基线特征无显著差异。与对照组相比,干预组的指标显著降低。干预组在关系分层、教育时长和年龄方面存在显著差异。

结论

家庭照顾者护理教育对类风湿关节炎的影响是多方面的,可降低炎症水平、减轻疾病活动并缓解情绪障碍。照顾者与患者的关系、照顾者的教育水平和患者的年龄可能是家庭照顾者护理教育的影响因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fda9/8554439/f33aa5a364f1/WJCC-9-8413-g001.jpg

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