{ "Key": "PrescriptionForRheumatoidArthritis", "Name": "类风湿关节炎患者健康教育处方", "Content": [ { "label": "姓名", "defaultValue": null, "span": 12, "key": "PatientName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "性别", "defaultValue": null, "span": 24, "key": "PatientGender", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "男", "value": "1" }, { "label": "女", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "年龄", "defaultValue": null, "span": 12, "key": "PatientAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "诊断", "defaultValue": null, "span": 12, "key": "DiseaseName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": " 类风湿关节炎，常被简称为“类风湿”，是一种常见的以损害周围关节（如手指、脚趾等部位的关节）为主的自身免疫病。多见于中青年女性，主要表现为对称性、慢性、进行性多关节炎，随病情进展，造成关节软骨、骨和关节囊破坏，最终导致关节畸形和功能丧失，严重影响患者的生活与健康。\r\n 类风湿关节炎的病因尚不明确，一般认为是反复感染、寒冷刺激、疲劳及遗传、内分泌等因素导致身体免疫系统出现异常，产生针对自身组织的免疫攻击而出现关节病变等。\r\n 采取健康生活方式，积极治疗，有助于身体康复、改善生活质量。", "defaultValue": null, "span": 12, "key": "Hint_Label", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "健康生活方式", "defaultValue": null, "span": 12, "key": "PatientInspectionItems", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "注意保暖，减少寒冷刺激。", "value": "1" }, { "label": "不吸烟(吸烟者戒烟)。", "value": "2" }, { "label": "避免接触二手烟。", "value": "3" }, { "label": "不饮酒。", "value": "4" }, { "label": "注意饮食卫生，避免增加胃肠道负担的饮食（如过于油腻、太辣的食物)。", "value": "5" }, { "label": "适当增加优质蛋白质比例(如蛋类、瘦肉)。", "value": "6" }, { "label": "超重肥胖者控制膳食总量，避免体重增加，加重关节负担。", "value": "7" }, { "label": "休息与放松。短时休息或睡眠可以缓解类风湿关节炎引起的乏力、关节僵痛；避免紧张、焦虑，保持良好的心态，有助于关节和全身情况好转。", "value": "8" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "治疗与康复", "defaultValue": null, "span": 12, "key": "History", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "在风湿免疫专科医师指导下，坚持长期治疗。", "value": "1" }, { "label": "在治疗初期应该至少每月复诊一次，病情控制稳定后每3～6个月复诊一次，以便及时调整治疗方案，有效控制疾病。", "value": "2" }, { "label": "自我关节防护。日常生活中应注意关节保护，尤其双手关节保护。需要注意以下几点：\r\n（1）活动时使用大关节，比如把拎包改为挎包；用手持物时，尽可能用双手，比如双手端锅。\r\n（2）加大把持物握柄，比如在牙刷把上缠绕纱布，方便握持。\r\n（3）避免掌指关节弯曲、指关节伸直的动作，如起床时用手掌撑起，避免只用手指。\r\n（4）能推不提，比如推车买菜。\r\n（5）尽量坐有靠背的椅子，避免长久站立。\r\n（6）久坐、平卧后，先活动关节，再起身。", "value": "3" }, { "label": "适当运动。类风湿关节炎患者应该参加锻炼。规律锻炼有助于减轻关节炎所致的疼痛，运动方式以保持关节灵活性和肌肉强度为主。\r\n（1）锻炼项目：根据个人关节病情严重程度选择适合自己的锻炼方式，比如简单的保持关节灵活性的手指活动和上肢运动；能改善心肺功能和肌肉力量的有氧运动，如散步、骑自行车和游泳。避免对关节形成高冲击性的运动，如跑步、打篮球等。\r\n（2）锻炼的量：每日锻炼约30～40分钟（可分成几次完成），一周锻炼多日。运动量应该从轻缓开始、缓慢增加。运动开始前应进行适当的热身运动，如缓慢步行、原地踏步或拉伸肌肉。\r\n（3）运动保护：锻炼时通过以下方式保护关节：如有髋关节、膝关节、足部或踝关节问题，尽可能在平整的路面上行走，避免爬坡、爬楼梯；穿着可支持足部并提供缓冲的鞋子，如带有气垫的运动鞋；如果出现运动时疼痛，应停止或改变活动方式；避免进行担转关节的活动；穿戴膝部支具或其他支持设备。", "value": "4" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "急症处理", "defaultValue": null, "span": 12, "key": "Conclusion", "type": "checkbox", "border": null, "disabledValue": "", "options": [ { "label": "如果病情加重，或正常服用抗风湿药物过程中出现发热、黑便、长期干咳(尤其活动后加重）、多发口腔溃疡、关节僵硬或肿痛持续加重等情况，应及时就诊。", "value": "1" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "其他指导建议", "defaultValue": null, "span": 12, "key": "ReportDescription", "type": "textareaInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "医生/指导人员签名:", "defaultValue": null, "span": 12, "key": "DigitalSignature", "type": "signature", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "咨询电话:", "defaultValue": null, "span": 12, "key": "PatientPhoneNumber", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "日期", "defaultValue": null, "span": 12, "key": "ReportTime", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "类风湿关节炎患者健康教育处方使用说明 \r\n ★使用对象：类风湿关节炎患者。 \r\n ★使用方法 \r\n 1.本处方不能替代医务人员开具的医疗处方，主要用于患者健康生活方式指导。 \r\n 2.医务人员应结合患者的病情、健康危险因素等，提供有针对性的健康指导。", "defaultValue": null, "span": 12, "key": "DescriptionLabel", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null } ] }