【摘要】 目的 研究并评价基于积极心理学的慢性管理在老年类风湿关节炎患者中的应用效果。方法 选取本院2021年2月～2024年2月收治的62例老年类风湿关节炎患者，将其分为对照组、观察组，各31例，分别予以慢病管理、基于积极心理学的慢病管理，比较两组自我管理能力、临床体征、心理弹性、健康信念、满意度。正态计量资料采用t检验，计数资料采用x2检验。结果 干预后，相较于对照组，观察组的自我管理能力、临床体征、心理弹性、健康信念以及满意度均显著更优（P<0.05）。结论 老年类风湿关节炎患者在临床开展基于积极心理学的慢病管理干预，可以显著提升患者自我管理能力，改善临床体征，提升患者的心理弹性及健康信念，具有较高的满意度。更多还原

【Abstract】 Objective To study and evaluate the effect of chronic management based on positive psychology in elderly patients with rheumatoid arthritis. Methods 62 elderly patients with rheumatoid arthritis admitted to our hospital from February 2021 to February 2024 were divided into control group and observation group, with 31 cases in each group. They were respectively given chronic disease management and chronic disease management based on positive psychology. Self-management ability, clinical signs, mental toughness, health belief and satisfaction were compared between the two groups. T test was used for normal measurement data and x2 test was used for counting data. Results After intervention, the self-management ability,clinical signs, mental toughness, health belief and satisfaction of the observation group were significantly better than those of the control group(P<0.05).Conclusion Chronic disease management intervention based on positive psychology can significantly improve patients’ self-management ability, improve clinical signs, enhance patients’ mental toughness and health belief, and have high satisfaction.更多还原