中国医学创新2025，Vol.22Issue(31)：86-90,5.DOI:10.3969/j.issn.1674-4985.2025.31.020
基于聚焦解决模式的针对性护理在类风湿关节炎中的应用
Application of Targeted Nursing Based on the Solution-focused Approach in Rheumatoid Arthritis
郑亚清 1谢芳芳 1邱龙芳 1朱莉1
作者信息
- 1. 赣州市人民医院(南方医院赣州医院)风湿免疫科 江西 赣州 341000
- 折叠
摘要
Abstract
Objective:To explore the impact of targeted nursing based on the solution-focused approach on patients with rheumatoid arthritis.Method:The study included 220 patients with rheumatoid arthritis admitted to Ganzhou People's Hospital from June 2021 to June 2023.They were divided into a control group(110 patients)and an observation group(110 patients)by coin flipping.The control group received routine care,while the observation group received targeted nursing based on the solution-focused approach.The two groups were compared in terms of joint function,coping strategies[Chinese version of the medical coping modes questionnaire(MCMQ)],pain intensity[the 11-point pain intensity numerical rating scale(PI-NRS)],ability to perform daily activities[activities of daily living scale(ADL)],and symptom scores[symptom checklist-90(SCL-90)].Result:After intervention,the observation group had lower joint tenderness and joint swelling indices,and higher average grip strength for both hands compared to the control group(P<0.05);the observation group scored higher in the confrontation dimension and lower in the avoidance and surrender dimensions compared to the control group(P<0.05);the observation group also had lower PI-NRS score and higher ADL score compared to the control group(P<0.05);additionally,the symptom scores across all dimensions in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Targeted nursing based on the solution-focused approach can significantly improve joint function and pain levels in patients with rheumatoid arthritis,enhance their ability to perform daily activities,alleviate clinical symptoms,and promote more active coping strategies in patients.关键词
聚焦解决模式/针对性护理/类风湿关节炎/关节功能/应对方式Key words
Solution-focused approach/Targeted nursing/Rheumatoid arthritis/Joint function/Coping strategies引用本文复制引用
郑亚清,谢芳芳,邱龙芳,朱莉..基于聚焦解决模式的针对性护理在类风湿关节炎中的应用[J].中国医学创新,2025,22(31):86-90,5.
