Abstract:

Objective　To explore the effect of health education based on empowerment theory on pain degree, coping style and quality of life in patients with rheumatoid arthritis (RA). Methods　83 RA patients admitted to Gansu Provincial Hospital of Traditional Chinese Medicine from March 2020 to March 2023 were prospectively selected as subjects for the study. They were randomly divided into study group (n=41) and reference group (n=42) using the envelope method. There were 26 males and 15 females in the research group, the age was (51.34±6.20)years old, and a disease duration of (5.42±1.06) years. Disease stage: 17 cases in low activity stage and 24 cases in the moderate to high activity stage. In the reference group, there were 28 males and 14 females, the age was (51.46±6.25) years old, a disease duration of (5.49±1.04) years. Disease stage: 16 cases in the low activity stage and 28 cases in the moderate to high activity stage. The reference group received routine care, while the research group was given health education based on the empowerment theory of authorization on the basis of the care provided to the reference group. Both groups received continuous intervention for 30 days.Pain degree, coping style, quality of life and ability of daily living activities were compared between the two groups. χ² test, and t test were used for statistical analysis. Results　After the intervention, The scores of the physiological, emotional, sensory discrimination and cognitive aspects of the pain assessment scale of the research group were (6.20±1.05, 7.49±1.36, 6.84±1.09, 8.41±1.22) points, all lower than the reference group scores of (8.44±1.42, 9.11±1.54, 8.52±1.50, 10.50±1.59) points, with statistically significant differences (t=8.156, 5.075, 5.825, and 6.707, all P<0.001). The positive coping score of the research group was higher than that of the reference group [(27.44±3.60) points vs. (23.68±2.47) points], while the negative coping score was lower than that of the reference group [(10.77±2.05) points vs. (13.42±3.11) points], with statistically significant differences(t=5.560, and 4.572, all P<0.001). The general health status, social function, emotional function and physiological function scores of the health survey summary table of the study group were (86.21±9.33, 85.37±8.56, 83.74±8.86, 84.01±8.29) points, which were higher than those of the reference group (75.10±8.04, 74.25±7.03, 72.89±6.62, 73.15±7.06) points, the differences were statistically significant ( t=5.805, 6.459, 6.308,and 6.418, all P<0.001). The scores of the research group on the Daily Living Ability Scale were higher than those of the reference group [(60.30±7.22) points vs. (54.69±6.88) points], with statistically significant differences(t=3.626, P<0.001). Conclusions　Health education based on empowerment theory can significantly reduce the degree of pain in RA patients, and can improve coping style, quality of life and activities of daily living, which is worthy of promotion.

Key words: Rheumatoid arthritis,  , Empowerment theory,  , Severity of pain,  , Quality of life,  , Coping style

摘要：

目的　探讨基于授权赋能理论的健康教育对类风湿性关节炎（RA）患者疼痛程度、应对方式、生活质量等的影响。方法　前瞻性选取2020年3月至2023年3月甘肃省中医院收治的83例RA患者作为研究对象，以信封法随机分为研究组（41例）及参考组（42例）。研究组男26例、女15例，年龄（51.34±6.20）岁，病程（5.42±1.06）年，疾病分期：低活动期17例、中高活动期24例。参考组男28例、女14例，年龄（51.46±6.25）岁，病程（5.49±1.04）年，疾病分期：低活动期16例、中高活动期28例。参考组给予常规护理，研究组在参考组基础上给予基于授权赋能理论的健康教育，两组均持续干预30 d。对比两组疼痛程度、应对方式、生活质量、日常生活活动能力评分。采用χ2检验、t检验进行统计分析。结果　干预后，研究组疼痛评估量表的生理、情感、感觉辨别力、认知评分分别为（6.20±1.05、7.49±1.36、6.84±1.09、8.41±1.22）分，均低于参考组（8.44±1.42、9.11±1.54、8.52±1.50、10.50±1.59）分，差异均有统计学意义（t=8.156、5.075、5.825、6.707，均P<0.001）；研究组应对方式中的积极应对评分高于参考组［（27.44±3.60）分比（23.68±2.47）分］、消极应对评分低于参考组［（10.77±2.05）分比（13.42±3.11）分］，差异均有统计学意义（t=5.560、4.572，均P<0.001）；研究组健康调查简表的一般健康状况、社会功能、情感职能、生理职能评分分别为（86.21±9.33、85.37±8.56、83.74±8.86、84.01±8.29）分，均高于参考组的（75.10±8.04、74.25±7.03、72.89±6.62、73.15±7.06）分，差异均有统计学意义（t=5.805、6.459、6.308、6.418，均P<0.001）；研究组日常生活能力量表评分高于参考组［（60.30±7.22）分比（54.69±6.88）分］，差异有统计学意义（t=3.626，P=0.001）。结论　基于授权赋能理论的健康教育可显著减轻RA患者的疼痛程度，且能改善应对方式、生活质量及日常生活活动能力，值得推广。

关键词: 类风湿性关节炎,  ,  , 授权赋能理论,  ,  , 疼痛程度,  ,  , 生活质量,  ,  , 应对方式