探讨辅助器具提高类风湿关节炎患者生命质量的效果。

选取2018年3月至12月中国医科大学附属盛京医院收治的126例类风湿关节炎患者，随机分成两组：对照组（63例），给予常规类风湿关节炎处理；观察组（63例），在对照组处理的基础上使用辅助器具。采用t检验比较对照组和观察组患者干预前和干预3个月后心理领域、生理领域、社会领域、健康自我认识、总的健康状况与生存质量等方面的生命质量评分，以及28个关节疾病活动度评分（DAS-28评分）。

观察组和对照组两组患者入院后干预前心理领域、生理领域、社会领域、健康自我认识及总的健康状况与生存质量等方面生命质量评分，DAS-28评分差异无统计学意义（P均>0.05）。干预3个月后，观察组在心理领域、生理领域、社会领域、健康自我认识及总的健康状况与生存质量等方面的生命质量评分改善程度明显优于对照组［（3.72±3.45）分vs （1.59±2.29）分；（6.20±3.90）分vs （3.06±4.73）分；（5.43±2.39）分vs （1.21±3.58）分；（3.55±4.78）分vs （0.25±3.49）分；（5.77±2.24）分vs （2.11±1.70）分］，差异具有统计学意义（t=7.618，P=0.001；t=8.525，P=0.014；t=4.738，P=0.042；t=6.346，P=0.021；t=9.153，P=0.013）。干预3个月后，两组DAS-28评分较干预前均明显下降［对照组：（2.12±0.12）分vs（4.63±2.01）分；观察组：（1.10±0.21）分vs （4.86±1.98）分］，差异有统计学意义（对照组：t=4.325，P=0.037；观察组：t=6.565，P=0.012）；组间比较发现，干预3个月后观察组DAS-28评分明显低于对照组［（1.10±0.21）分vs （2.12±0.12）分］，差异有统计学意义（t=5.164，P=0.028）。观察组干预前后DAS-28评分改善程度大于对照组［（3.51±0.63）分vs （1.94±0.75）分］，差异有统计学意义（t=4.271，P=0.043）。

辅助器具可有效改善类风湿关节炎患者的生命质量，方法简便易行，值得临床推广。

To explore the effect of assistive devices in improving the quality of life of patients with rheumatoid arthritis.

A total of 126 patients with rheumatoid arthritis admitted to Shengjing Hospital Affiliated to China Medical University from March 2018 to December 2018 were randomly divided into either a control group (63 cases) to receive routine rheumatoid arthritis treatment alone or an observation group (63 cases) to use assistive devices on the basis of routine rheumatoid arthritis treatment. The t-test was used to compare the quality of life scores in terms of psychological domain, physiological domain, social domain, health self-awareness, general health, and quality of life before and 3 months after intervention and 28-joint disease activity score (DAS-28) between the control and observation groups.

Before intervention, the scores of psychological domain, physiological domain, social domain, health self-awareness, general health status, and quality of life and DAS-28 scores were not statistically significant between the two groups (P>0.05). After 3 months of intervention, the improvement in the scores of psychological domain, physiological domain, social domain, health self-awareness, general health status, and quality of life was significantly better in the observation group than in the control group [(3.72±3.45) vs (1.59±2.29), t=7.618, P=0.001; (6.20±3.90) vs (3.06±4.73), t=8.525, P=0.014; (5.43±2.39) vs (1.21±3.58), t=4.738, P=0.042; (3.55±4.78) vs (0.25±3.49), t=6.346, P=0.021; (5.77±2.24) vs (2.11±1.70), t=9.153, P=0.013]. After 3 months of intervention, the DAS-28 scores of the two groups were significantly lower than those before intervention [control group: (2.12±0.12) vs (4.63±2.01), t=4.325, P=0.037; observation group: (1.10±0.21) vs (4.86±1.98), t=6.565, P=0.012], and the DAS-28 score of the observation group was significantly lower than that of the control group after intervention (t=5.164, P=0.028). The improvement of DAS-28 score before and after intervention in the observation group was greater than that of the control group [(1.10±0.21) vs (2.12±0.12), t=4.271, P=0.043].

Assistive devices can significantly improve the quality of life of patients with rheumatoid arthritis, and the method is simple and easy.