摘要
目的探讨基于再设计出院(RED)模式的多维度延伸护理对类风湿性关节炎患者情绪、症状及自理能力的改善作用。方法采用随机数字表法将2018年12月至2019年8月蚌埠医学院第一附属医院收治的98例类风湿性关节炎患者分为对照组与观察组,每组49例。两组均实施院内常规护理,出院后对照组按时复诊、常规随访,观察组实施基于RED模式的多维度延伸护理,两组均干预3个月。将干预前后情绪变化、症状变化、自理能为观察指标进行比较。结果干预后两组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均下降,且观察组低于对照组,差异有统计学意义(P<0.01);干预后两组关节疼痛评分均下降,晨僵时间均缩短,关节肿胀数均减少,握力均增加,且干预后观察组关节疼痛评分低于对照组,晨僵时间短于对照组,关节肿胀数少于对照组,握力大于对照组,差异有统计学意义(P<0.01);观察组自理能力分布与对照组比较,差异有统计学意义(P<0.05),自理占比高于对照组,差异有统计学意义(P<0.05)。结论对类风湿性关节炎患者实施基于RED模式的多维度延伸护理不仅可缓解其负性情绪,减轻症状,还可提高自理能力。
Objective To explore the effect of multi-dimensional extended nursing based on Re-engineered Discharge(RED)model on emotions,symptoms and self-care abilities of patients with rheumatoid arthritis.Methods Totally 98 cases of patients with rheumatoid arthritis visited in December2018 to August 2019 were divided into control group and experimental group according to the random number table,with 49 cases in each group.The two groups all received routine care.After discharge,the control group was regularly followed-up visit for 3 months,while the experimental group was given multi-dimensional extended nursing based on RED mode for 3 months.The changes of emotions,symptoms and self-care abilities before and after the intervention were taken as the observation indexes.Results After intervention,the self rating anxiety scale(SAS)and self rating depression scale(SDS)scores in the two groups were all decreased,which in the experimental group were statistically lower than those in the control group(P<0.01).After intervention,the joint pain scores of the two groups were all decreased,the morning stiffness time was shortened,the numbers of joint swelling were reduced,and the grip strength was increased.After intervention,compared with the control group,there were lower the joint pain score,shorterstiffness time,less number of joint swelling,and the greatergrip strength in the experimental group,with highly statistically significant differences(P<0.01).There was a statistically significant difference in the distribution of self-care abilities between the two groups(P<0.05),and the self-care rate in the experimental group was significantly higher than that in the control group(P<0.05).Conclusion The multi-dimensional extended nursing based on RED model in patients with rheumatoid arthritis can not only relieve negative emotions,relieve symptoms,but also improve self-care abilities.
作者
王敏
WANG Min(Department of Rheumatology and Immunology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233000,China)
出处
《慢性病学杂志》
2020年第5期658-661,665,共5页
Chronic Pathematology Journal
关键词
延伸护理
类风湿性关节炎
情绪
症状
自理能力
Extended nursing
Rheumatoid arthritis
Emotions
Symptoms
Self-care abilities
作者简介
通信作者:王敏,E-mail:wangminah@yeah.net,大学本科,主管护师,研究方向:风湿性疾病内科治疗
