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目的 探讨延续性护理对老年类风湿关节炎患者自我效能及生活质量的影响.方法 选取我院治疗的老年类风湿关节炎患者90 例, 随机分为观察组、对照组各45 例.所有患者均给予云克+胸腺五肽治疗, 静脉滴注10 d出院.对照组给予患者常规出院指导; 观察组进行延续性护理.比较两组患者出院2 个月后, 服药依从性、日常生活自理能力、自我效能量表、关节压痛指数、焦虑自评量表( SAS) 、自评抑郁量表( SDS) 、类风湿因子、红细胞沉降率、 C 反应蛋白及生活质量量表 SF -36 评分.结果 观察组服药依从性、日常生活自理能力、自我效能均明显高于对照组, 差异均有统计学意义(P ＜0. 01).观察组关节压痛指数、 SAS、 SDS、类风湿因子、红细胞沉降率、 C 反应蛋白均明显低于对照组,差异均有统计学意义(P ＜0. 01).观察组生理功能、生理职能、身体疼痛、社会功能、情感职能、精神健康、活力、总体健康评分均明显高于对照组, 差异均有统计学意义(P ＜0. 01).结论 延续性护理能够提高老年类风湿关节炎患者的自我效能, 增加关节功能锻炼和对疾病的认知, 提高患者生活质量, 改善预后, 值得推广.“,”Objective To explore the effect of continuous care on self-efficacy and quality of life in elderly patients with rheumatoid arthritis. Methods 90 elderly patients with rheumatoid arthritis in our hospital were randomly divided into the observation group (n=45) and control group (n=45). All patients discharged from hospital after treatment with technetium methylenediphos-phonate and thymus pentapeptide for 10 days. The control group was given regular discharge guidance. The observation group was giv-en continuous care intervention. Medication adherence, self-care ability, self-efficacy scale, joint tenderness index, SAS, SDS, rheumatoid factor, erythrocyte sedimentation rate, c-reactive protein and the quality of life scale ( SF-36 scale) were evaluated 2 month after discharge from hospital. Results Drug compliance, self-care ability and self-efficacy in the observation group were significantly higher than those in the control group (P＜0. 01). The joint tenderness index, SAS, SDS, rheumatoid factors, eryth-rocyte sedimentation rate and c-reactive protein in the observation group were significantly lower than those in the control group (P＜0. 01). The physiological function, role-physical, physical pain, social function, emotional function, mental health, vitality and overall health scores in the observation group were significantly higher than those in the control group (P＜0. 01). Conclusion Con-tinuous care can enhance self-efficacy, increase joint functional exercise and the cognition to the disease, improve the quality of life and prognosis in the elderly patients with rheumatoid arthritis.