来源：风湿病与关节炎,2022,11（2）:16-20.

基于时机理论的健康管理对强直性脊柱炎患者脊柱功能及自我管理能力的影响

（临床研究）

门雪妍，龚　丽，祁梦君，岳培培

　　【摘　要】目的：探讨时机理论的健康管理对强直性脊柱炎患者脊柱功能及自我管理行为的影响。方法：将70例强直性脊柱炎患者随机分为观察组和对照组，每组35例。对照组给予常规健康管理，观察组在对照组常规健康管理基础上给予基于时机理论的健康管理。在干预前及干预1，3，6个月，采用Bath强直性脊柱炎病情活动指数（BASDAI）评分、Bath强直性脊柱炎功能指数（BASFI）评分、Bath强直性脊柱炎测量学指数（BASMI）评分，评定2组患者的脊柱功能，采用慢性病自我管理量表评定2组患者的自我管理水平。结果：在随访3，6个月时，观察组BASDAI评分、BASFI评分、BASMI评分及与医生沟通维度得分与对照组比较，差异均有统计学意义（P < 0.05）。在随访1，3，6个月时，观察组自我管理行为总分，运动锻炼、认知性症状管理维度得分与对照组比较，差异均有统计学意义（P > 0.05）。重复测量方差分析，观察组和对照组患者BASDAI评分、BASFI评分、BASMI评分、自我管理行为总分及各维度得分在干预前及随访1，3，6个月比较，差异均有统计学意义（P < 0.05）。结论：基于时机理论的健康管理模式可以有效改善强直性脊柱炎患者脊柱功能，提升自我管理水平，是适合强直性脊柱炎患者的慢病管理模式。

　　【关键词】　强直性脊柱炎；时机理论；健康管理；脊柱功能；自我管理能力

Effect of Health Management Based on Timing Theory on Spinal Function and Self-management Behavior of Patients with Ankylosing Spondylitis

MEN Xue-yan,GONG Li,QI Meng-jun,YUE Pei-pei

　　【ABSTRACT】Objective:To explore the effect of health management based on Timing Theory on spinal function and self-management behavior of patients with ankylosing spondylitis.Methods:Seventy patients with ankylosing spondylitis were randomly divided into an observation group and a control group,with 35 cases in each group.The control group was given routine nursing,and the observation group was given health management based on Timing Theory on the basis of the treatment as in the control group.Before the intervention and 1,3 and 6 months after the intervention,the spinal function of the two groups was evaluated by BASDAI score,BASFI score,BASMI score,and the self-management level of the two groups was evaluated by the chronic disease self-management scale.Results:At the 1,3 and 6 months of follow-up,there were statistical significances between BASDAI score,BASFI score,BASMI score and communication dimension scores with doctors between the two groups（P < 0.05）.At the 1,3 and 6 months of follow-up,there were statistical significances in the total score of self-management behavior,exercise and cognitive symptom management dimension scores between the two groups（P > 0.05）.Repeated measurement analysis of variance showed that there were statistical significances in BASDAI score,BASFI score,BASMI score,the total scores of self-management behavior and each dimension scores between both groups before intervention and 1,3 and 6 months of follow-up（P < 0.05）.Conclusion:Health management model based on Timing Theory can effectively improve the spinal function and self-management level of patients with ankylosing spondylitis.It is a chronic disease management model suitable for patients with ankylosing spondylitis.

　　【Keywords】 ankylosing spondylitis;Timing Theory;health management;spinal function;self-management ability