Liu Zhi-Chen, Gao Li, Zhang Wen-Hao, Wang Jing, Liu Rong-Rong, Cao Bao-Hua
Department of Nursing, General Hospital of Western Command Theater, Chengdu, China.
School of Nursing, Air Force Medical University, Xi'an, China.
Int J Nurs Pract. 2020 Aug;26(4):e12817. doi: 10.1111/ijn.12817. Epub 2020 Jan 27.
To our knowledge, the practice of transitional care was not common in mainland China. This study was designed to test the intervention effects of a specific dose (4 weeks) of an Omaha-based system transitional care programme for Chinese patients suffering from rheumatoid arthritis.
The intervention group adopted a 4-week nurse-led transitional care intervention based on the Omaha System. The control group used a comparable length of routine care. The outcome indexes were a Chinese version of the Arthritis Self-Efficacy Scale-8, Health Assessment Questionnaire-Disability Index, and hospital readmission rates. Data were collected from June 2018 to December 2018.
Finally, 88 patients (44 in the intervention group and 44 in the control group) entered the data analysis. Baseline sociodemographic data for both groups were not found to be statistically significant. The self-efficacy and HAQ-DI of the intervention group were significantly different from the control group. Although the readmission rates of the intervention group were lower than that of the control group, it was not statistically significant.
This 4-week transitional care intervention dose is sufficient to provide evidence for improving self-efficacy to implement disease management and enhancing physical function of patients diagnosed with rheumatoid arthritis.
据我们所知，过渡性护理在中国内地并不常见。本研究旨在测试基于奥马哈系统的特定剂量（4周）过渡性护理计划对中国类风湿关节炎患者的干预效果。
干预组采用基于奥马哈系统的为期4周的护士主导的过渡性护理干预。对照组采用同等时长的常规护理。结局指标为中文版关节炎自我效能量表-8、健康评估问卷-残疾指数和再入院率。数据收集于2018年6月至2018年12月。
最终，88例患者（干预组44例，对照组44例）进入数据分析。两组的基线社会人口学数据无统计学差异。干预组的自我效能感和健康评估问卷-残疾指数与对照组有显著差异。虽然干预组的再入院率低于对照组，但无统计学意义。
这种为期4周的过渡性护理干预剂量足以提供证据，证明其可提高实施疾病管理的自我效能感，并增强类风湿关节炎患者的身体功能。
