“5A”管理模式用于海军强直性脊柱炎患者的研究
1. 海军军医大学附属长海医院, 风湿免疫科, 上海 200433
2. 海军军医大学附属长海医院, 感染科, 上海 200433
| 摘 要： | 目的：探讨信息化背景下5A管理模式对住院海军强直性脊柱炎（AS）患者病情控制的效果。方法：选取上海长海医院风湿免疫科2021年1月-2021年10月收治的海军AS患者共58例，按是否有意愿接受5A干预将其分为实验组和对照组，实验组按照5A管理模式进行干预，对照组进行常规护理及治疗。分别收集两组患者的血沉（ESR）、C反应蛋白（CRP）、晨僵时间、疼痛评分、脊柱活动功能、睡眠质量。所有患者1月后门诊再次评估上述指标。结果：进行5A管理模式干预前，两组患者的所有指标均无统计学差异（P≥0.05）；实验组应用5A模式干预后，ESR、CRP、晨僵时间、疼痛评分、BASFI评分与PSQI评分均明显低于5A模式干预前，且差异均具有统计学意义（P<0.05）；对照组在接受常规治疗及护理后，ESR、CRP、晨僵时间、疼痛评分、BASFI评分与PSQI评分同样明显低于随访前，差异均具有统计学意义（P<0.05）；实验组接受5A模式后，ESR、CRP、晨僵时间与BASFI评分明显低于对照组接受常规治疗和护理后的水平，其差异具有统计学意义（P<0.05），两组的疼痛评分与PSQI评分不具有统计学差异（P≥0.05）。结论：信息化背景下应用5A管理模式可一定程度上改善AS官兵身体活动及日常训练能力，延缓疾病对骨关节的侵袭，改善睡眠质量。相较于常规治疗及护理干预手段，应用5A管理模式能够更加有效的抑制AS疾病进展、促进患者身体活动功能的恢复。 |
| 关 键 词： | 5A管理模式; 强直性脊柱炎; 海军; 5A模式 |
| DOI： | 10.57237/j.nhres.2022.01.006 |
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收稿日期: 2022-12-06
接受日期: 2023-01-13
在线出版日期: 2023-02-03
The "5A" Management Model Was Used to Study Navy Patients with Ankylosing Spondylitis
1. Department of Rheumatology and Immunology, Changhai Hospital Affiliated to Naval Military Medical University, Shanghai 200433, China
2. Department of Infection, Changhai Hospital Affiliated to Naval Military Medical University, Shanghai 200433, China
| Abstract: | Objective: To explore the effect of 5A management mode on the disease control of inpatients with naval ankylosing spondylitis (AS) under the background of information technology. Methods: A total of 58 Navy AS patients admitted to the Rheumatology and Immunology Department of Shanghai Changhai Hospital from January 2021 to October 2021 were selected. According to whether they were willing to accept 5A intervention, they were divided into experimental group and control group. The experimental group carried out intervention in accordance with 5A management mode, and the control group carried out routine nursing and treatment. Erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), morning stiffness time, pain score, spinal motion function and sleep quality were collected in two groups, respectively. All patients were evaluated again in the outpatient department 1 month later. Results: Before 5A management mode intervention, there were no statistical differences in all indexes between the two groups (P≥0.05). After 5A mode intervention, ESR, CRP, morning stiffness time, pain score, BASFI score and PSQI score were significantly lower than before 5A mode intervention, and the differences were statistically significant (P<0.05). After receiving conventional treatment and nursing, ESR, CRP, morning stiffness time, pain score, BASFI score and PSQI score were also significantly lower than before follow-up, with statistical significance (P<0.05). After receiving 5A mode, ESR, CRP, morning stiffness time and BASFI scores of the experimental group were significantly lower than those of the control group after receiving conventional treatment and nursing, the differences were statistically significant (P<0.05), but there was no statistical difference between the pain scores and PSQI scores of the two groups (P≥0.05). Conclusions: The application of 5A management mode under the information background can improve the physical activity and daily training ability of AS officers and soldiers to a certain extent, delay the invasion of diseases on bones and joints, and improve sleep quality. Compared with conventional treatment and nursing interventions, the application of 5A management mode can more effectively inhibit the progression of AS disease and promote the recovery of physical activity function of patients. |
| Keywords: | 5A Management Mode; Ankylosing Spondylitis; Navy; 5A Mode |
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