Department of Rheumatology, Panzhihua Central Hospital, Panzhihua, Sichuan Province, China.
Medicine (Baltimore). 2024 Oct 25;103(43):e39722. doi: 10.1097/MD.0000000000039722.
This study aims to investigate whether the re-engineered discharge (RED) model can significantly improve the quality of life, enhance the health status, and reduce the levels of depression and anxiety in patients with rheumatoid arthritis during hospitalization. This study selected 108 rheumatoid arthritis patients treated at our facility between February 2023 and February 2024. Based on the different treatment methods, these patients were divided into a control group and an observation group, with 54 patients in each group. During hospitalization, both groups received standardized routine care provided by the hospital. After discharge, the control group continued with regular follow-up visits, while the observation group received a more comprehensive and multidimensional extended care based on the RED model. The intervention period for both groups was set to 3 months. The core observation indicators of this study focused on the emotional fluctuations, symptom improvement, and changes in self-care ability of the patients before and after the intervention. After the intervention, the scores of the Self-Rating Anxiety Scale and Self-Rating Depression Scale in both groups showed significant decreases, with the scores in the observation group being significantly lower than those in the control group, showing a highly significant statistical difference (P < .01). Additionally, the joint pain scores in both groups were alleviated, reflected by shorter morning stiffness times, reduced joint swelling, and increased grip strength. The observation group had lower joint pain scores, shorter morning stiffness times, fewer swollen joints, and stronger grip strength, all of which were statistically significant (P < .01). Furthermore, the distribution of self-care abilities in the observation group showed a significant difference compared to the control group (P < .05), with the observation group having a higher proportion of self-care abilities, which was also statistically significant (P < .05). For patients with rheumatoid arthritis, the implementation of the RED model nursing strategy can significantly alleviate negative emotions, reduce the distress caused by symptoms, and markedly improve their quality of life, providing a more comfortable and reassuring treatment experience.
本研究旨在探讨再工程化出院（RED）模式是否能显著改善生活质量，增强健康状况，以及降低住院期间类风湿关节炎患者的抑郁和焦虑水平。本研究选取了 2023 年 2 月至 2024 年 2 月在我院治疗的 108 例类风湿关节炎患者。根据不同的治疗方法，将这些患者分为对照组和观察组，每组 54 例。住院期间，两组患者均接受医院提供的标准化常规护理。出院后，对照组继续进行常规随访，观察组则在 RED 模式基础上接受更全面、多维的延伸护理。两组的干预期均为 3 个月。本研究的核心观察指标集中在干预前后患者的情绪波动、症状改善和自我护理能力变化。干预后，两组的焦虑自评量表和抑郁自评量表评分均显著下降，观察组评分明显低于对照组，差异具有统计学意义（P ＜ 0.01）。此外，两组的关节疼痛评分均有所缓解，表现为晨僵时间缩短、关节肿胀减少、握力增强。观察组的关节疼痛评分较低，晨僵时间较短，肿胀关节较少，握力较强，差异均有统计学意义（P ＜ 0.01）。此外，观察组的自我护理能力分布与对照组相比存在显著差异（P ＜ 0.05），观察组的自我护理能力比例更高，差异也具有统计学意义（P ＜ 0.05）。对于类风湿关节炎患者，实施 RED 模式护理策略可以显著减轻负面情绪，缓解症状带来的困扰，显著提高生活质量，为患者提供更舒适、安心的治疗体验。
