Department of Rheumatology and Immunology, Tangshan Workers' Hospital, Tangshan, Hebei Province, China.
Medicine (Baltimore). 2023 Jan 27;102(4):e32598. doi: 10.1097/MD.0000000000032598.
To explore the effect of nursing intervention based on continuity model on psychological stress state of patients with rheumatoid arthritis (RA). A total of 128 patients with RA in our hospital from January 2015 to January 2017 were selected and divided into 2 groups by random number table method, 64 cases in each group. The control group received routine nursing, and the observation group received nursing intervention based on continuity model. The physiological function recovery, psychological stress, negative psychology, trait coping style and quality of life were compared between the 2 groups. Compared with the control group, the first time to get out of bed, the time to subside swelling of upper limb and the length of hospital stay in the experimental group were significantly shorter, the sleep time was significantly longer, and the visual analog scale score was significantly lower in the experimental group (all P < .05). After receiving nursing intervention, the psychological stress scores of somatizations, anxiety and depression of all patients were significantly lower than before nursing, and the above scores of the observation group were significantly lower than those of the control group (all P < .05). After nursing, the positive coping score, negative coping score and quality of life score of all patients were significantly higher than those before nursing, and the above scores of the observation group were significantly higher than those of the control group (all P < .05). Nursing intervention based on continuity model can promote the recovery of physical function, improve psychological stress and negative emotions, and improve the quality of life of patients with RA, which is worthy of clinical application.
探讨基于延续模式的护理干预对类风湿关节炎（RA）患者心理应激状态的影响。选取我院 2015 年 1 月至 2017 年 1 月收治的 128 例 RA 患者，采用随机数字表法分为两组，每组 64 例。对照组给予常规护理，观察组给予基于延续模式的护理干预。比较两组患者生理功能恢复情况、心理应激状态、负性心理、特质应对方式和生活质量。与对照组比较，观察组患者首次下床时间、上肢肿胀消退时间及住院时间明显缩短，睡眠时间明显延长，视觉模拟评分明显降低（均 P<.05）。接受护理干预后，所有患者的躯体化、焦虑和抑郁心理应激评分均明显低于护理前，观察组上述评分明显低于对照组（均 P<.05）。护理后，所有患者的积极应对评分、消极应对评分和生活质量评分均明显高于护理前，观察组上述评分明显高于对照组（均 P<.05）。基于延续模式的护理干预可促进 RA 患者的身体功能恢复，改善心理应激状态和负性情绪，提高生活质量，值得临床应用。
