[1]周蕾,史娜,姚辉,等.类风湿关节炎患者自我调节疲劳现状及其影响因素[J].军事护理,2022,39(06):44-47,80.[doi:10.3969/j.issn.1008-9993.2022.06.011]
　ZHOU Lei,SHI Na,YAO Hui,et al.Status Quo of Self-Regulation Fatigue Among Patients with Rheumatoid Arthritis and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(06):44-47,80.[doi:10.3969/j.issn.1008-9993.2022.06.011]
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类风湿关节炎患者自我调节疲劳现状及其影响因素
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年06期
页码:
44-47,80
栏目:
研究荟萃
出版日期:
2022-06-15

文章信息/Info

Title:
Status Quo of Self-Regulation Fatigue Among Patients with Rheumatoid Arthritis and Its Influencing Factors
文章编号:
1008-9993(2022)06-0044-05
作者:
周蕾1; 史娜2; 姚辉2; 张明珠1; 刘娟霞1; 刘淑敏1
(1.宁夏医科大学 护理学院,宁夏 银川 750001; 2.宁夏回族自治区人民医院 风湿免疫科,宁夏 银川 750002)
Author(s):
ZHOU Lei1; SHI Na2; YAO Hui2; ZHANG Mingzhu1; LIU Juanxia1; LIU Shumin1
(1.School of Nursing,Ningxia Medical University,Yinchuan 750001,Ningxia Hui Autonomous Region, China; 2.Rheumatology and Immunology Department,People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China)
关键词:
类风湿关节炎;  自我损耗;  自我管理;  影响因素
Keywords:
rheumatoid arthritis;  ego depletion;  self-management;  influencing factors
分类号:
R473.5
DOI:
10.3969/j.issn.1008-9993.2022.06.011
文献标志码:
A
摘要:
目的 调查类风湿关节炎(rheumatoid arthritis,RA)患者自我调节疲劳现状并分析影响因素,为干预方案的制定提供数据支撑。方法 2020年9月至2021年1月,采用便利抽样法选取宁夏某三级甲等医院风湿免疫科住院的RA患者275例为研究对象,采用一般资料调查表、Morisky用药依从性量表-8、自我调节疲劳量表、正性负性情绪量表、医学应对方式问卷和类风湿关节炎自我效能感量表进行调查。结果 RA患者自我调节疲劳总分为(43.64±9.55)分,自我效能感评分为(89.85±9.70)分,正性情绪为(21.30±6.31)分、面对应对为(16.64±3.03)分,用药依从性评分为4.00(1.50,6.58)分。SRF总分及各维度得分与疼痛、负性情绪及屈服应对方式得分均呈正相关(均P<0.05),与正性情绪、回避应对方式及自我效能感得分均呈负相关(均P<0.05)。性别、年龄、工作状况、体质指数、医疗保险、关节功能、病情分期、锻炼情况、用药依从性、疼痛、负性情绪、回避与屈服应对方式以及自我效能感是自我调节疲劳水平的主要影响因素(均P<0.05)。结论 RA患者存在中等水平的自我调节疲劳,医护人员应针对主要影响因素给予干预。
Abstract:
Objective To investigate the status quo of self-regulation fatigue(SRF)among patients with rheumatoid arthritis(RA)and analyze its influencing factors.And to provide data support for the formulation of intervention plans.Methods From September 2020 to January 2021,275 inpatients from a Rheumatism and Immunology Department of a tertiary A hospital in Ningxia were selected by convenience sampling method.A questionnaire survey was conducted with the general information questionnaire,Morisky medication adherence scale-8,self-regulatory fatigue scale,positive and negative affect scales,medical coping modes questionnaire,and rheumatoid arthritis self-efficacy scale.Results The scores of self-regulated fatigue,self-efficacy,positive effect,confrontational coping and medication adherence in RA patients were 43.64±9.55,89.85±9.70,21.30±6.31,16.64±3.03,and 4.00(1.50,6.58)respectively.The total scores of SRF and each dimension were positively correlated with scores of pain,negative effect and resignation coping style(all P<0.05),and negatively correlated with scores of positive affect,avoidance coping style and self-efficacy(all P<0.05).Gender,age,working status,BMI,medical insurance,joint function,disease stage,regular exercise,medication adherence,pain,negative emotions,avoidance and resignation coping styles and self-efficacy were the main factors affecting the level of SRF(all P<0.05).Conclusions RA patients have a moderate level of SRF.Medical staff should provide intervention according to the main influencing factors.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-11 【 修回日期 】 2022-03-14
【 作者简介 】 周蕾,硕士在读,护师,从事临床护理工作
【 通信作者 】 刘淑敏,电话:0951-6880685
更新日期/Last Update: 2022-06-15