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Chinese Journal of Clinicians(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (03): 179-183. doi: 10.3877/cma.j.issn.1674-0785.2019.03.005

Special Issue:

• Clinical Research • Previous Articles     Next Articles

Effect of assistive devices in improving quality of life of patients with rheumatoid arthritis

Liangliang Pang1,(), Dan Li1   

  1. 1. Department of Rheumatology and Immunology, The Affiliated Shengjing Hospital of Chinese Medical Sciences University, Shenyang 110021, China
  • Received:2018-12-31 Online:2019-02-01 Published:2019-02-01
  • Contact: Liangliang Pang
  • About author:
    Corresponding author: Pang Liangliang, Email:

Abstract:

Objective

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

Methods

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.

Results

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].

Conclusion

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

Key words: Rheumatoid arthritis, Nursing, Assistive devices, Quality of life, Disease activity

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