关键词:

类风湿关节炎, 家属协同管理模式, 抗阻运动训练, 生活质量

Abstract:

Objective　To explore the effect of family cooperative management mode combined with resistance exercise training in the improvement of the quality of life of children with rheumatoid arthritis. Methods A total of 120 children with rheumatoid arthritis admitted to Children's Hospital Affiliated to Zhengzhou University from February 2021 to December 2022 were selected for the prospective study, and were divided into a conventional group and an experimental group by the random number table method, with 60 cases in each group. There were 26 males and 34 females in the conventional group; they were (12.03±1.49) years old. There were 25 males and 35 females in the experimental group; they were (12.15±1.47) years old. The conventional group took traditional nursing measures. The experimental group took family cooperative management mode and resistance exercise training to intervene and train the family members of the children.Both groups were treated for 3 months. The hand grip strength and scores of pain and fatigue before and after the intervention were compared between the two groups. The quality of life of the two groups after the intervention was assessed. The negative emotion scores before and after the intervention were compared between the two groups. The satisfaction rating table was used to investigate the satisfaction degrees of the two groups. χ² and t tests were applied. Results　Before the intervention, there were no statistical differences in the hand grip strength and scores of pain and fatigue between the two groups (all P>0.05); after the intervention, the hand grip strength and scores of pain and fatigue in the experimental group were better than those in the conventional group (all P<0.05). After the intervention, the scores of physical function, mental function, health status, and social function in the experimental group were higher than those in the conventional group (all P<0.05). Before the intervention, there were no statistical differences in negative emotion scores between the two groups (both P>0.05); after the intervention, the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the experimental group were lower than those in the conventional group [(45.17±4.03) vs. (57.98±5.16) and (41.73±4.46) vs. (54.74±5.32)], with statistical differences between the two groups (both P<0.05). The total satisfaction of the experimental group was higher than that of the conventional group [96.67% (58/60) vs. 81.67% (49/60)], with a statistical difference (χ²=6.988, P=0.008). Conclusion　Family cooperative management mode combined with resistance exercise training for children with rheumatoid arthritis can improve their quality of life, relieve their pain and fatigue, and reduce their anxiety and depression, with high patient satisfaction.

Key words:

Rheumatoid arthritis, Family cooperative management mode, Resistance exercise training, Quality of life