International Journal of Nursing Research
International Journal of Nursing Research. 2025; 7: (10) ; 10.12208/j.ijnr.20250509 .
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海军军医大学第二附属医院 上海
*通讯作者： 官同香,单位：海军军医大学第二附属医院 上海；
目的 探讨基于5A护理模式在强直性脊柱炎患者症状管理中的应用效果。方法 以2023年5月至2024年1月我科治疗的AS患者68例为例，随机划分成对照组与观察组，每组34例，所有患者均接受6个月的护理干预，对照组接受常规护理，观察组在对照组基础上接受5A护理。比较两组临床疗效。结果 观察组睡眠质量、疼痛评分均明显优于对照组；同时，观察组护理满意度也比对照组高，组间数据存在明显差异；观察组触高、弯腰、坐站、登台等功能评分均低于对照组，数据有明显差异。观察组出院时、出院3个月、出院6个月功能锻炼依从率均高于对照组，数据有明显差异（均P<0.05）。结论 5A护理模式用于强直性脊柱炎患者功能锻炼中效果显著，可减少疼痛，改善睡眠质量，并提高患者锻炼依从性，同时还可明显提升病人的运动功能，改善其生活质量，值得在临床中推广应用。
Objective Discussing the Application Effectiveness of Functional Exercise Based on the 5A Nursing Model in Symptom Management for Patients with Ankylosing Spondylitis. Methods A total of 68 AS patients treated in our department from May 2023 to January 2024 were randomly divided into control group and observation group, with 34 cases in each group. All patients received nursing intervention for 6 months, the control group received routine nursing, and the observation group received 5A nursing based on the control group. The clinical efficacy of the two groups was compared. Results The sleep quality and pain scores of the observation group were better than those of the control group. At the same time, the nursing satisfaction of the observation group was higher than that of the control group. The functional scores of touch height, bending, sitting, standing and staging in the observation group were lower than those in the control group, and the data were significantly different. The compliance rate of functional exercise at discharge, 3 months after discharge and 6 months after discharge in the observation group was higher than that in the control group, and the data were significantly different (all P<0.05). Conclusion 5A nursing mode is effective in functional exercise for patients with ankylosing spondylitis, which can reduce pain, improve sleep quality, improve exercise compliance of patients, and significantly improve patients' motor function and improve their quality of life, which is worthy of clinical application.
[1] 刘晓丽,隆素珍,刘焱.综合护理干预对强直性脊柱炎患者免疫功能及其生活质量的影响[J].现代中西医结合杂志,2018,27(01):102-105.
[2] 朱梅红,张瑜,王德贞.移动医疗App及微信群模式下的延伸护理服务对强直性脊柱炎患者生活质量的影响[J].河南医学研究,2021,30(34):6522-6525.
[3] 王寒冰,赵利花.微信平台联合5E康复护理模式对强直性脊柱炎患者院外康复的影响[J].河南大学学报(医学版),2021,40(03):211-214.
[4] 王淑娟,赵雅欣.中药熏蒸联合蜡疗治疗84例寒湿痹阻型强直性脊柱炎的护理体会[J].西北国防医学杂志,2016, 37(03):202-203.
[5] 马喜宁,白艳娟,孔思铭等.强直性脊柱炎患者运动指导方案的最佳证据总结[J].中华护理杂志,2023,58(07): 864-870.
[6] 高换,韩丹莹,赵燕.基于DAVID脊柱生物力学测训系统的康复训练对强直性脊柱炎患者脊柱核心肌群力学功能和核心肌耐力的影响[J].内科,2023,18(06):538-542.
[7] 刘颖颖,雷剑虹,张艳等.不同分期强直性脊柱炎患者的临床疼痛特征调查研究及护理效果分析[J].贵州医药, 2023, 47(12):1988-1989.
[8] Feng, G.J., Li, D.D., Wang, H.D. and Tian, J.D. (2019) Exploring the Idea of Staged Treatment of Ankylosing Spondylitis from the Perspective of Liver, Kidney and Governor. Asia-Pacific Traditional Medicine, 4, 82-84.
[9] Bradbury, L.A., Hollis, K.A., Gautier, B., Shankaranarayana, S., Robinson, P.C. and Saad, N. (2018) Diffusion-Weighted Imaging Is a Sensitive and Specific Magnetic Resonance Sequence in the Diagnosis of Ankylosing Spondylitis. The Journal of Rheumatology, 45, 771-778.
[10] Kumar, S., Doss, R.S.A., Rebekah, G., Mathews, N.S., Danda, D., Mathew, J. and Daniel, D. (2021) Prevalence of HLA-B*27 Subtypes in the Tamil Population of India with Ankylosing Spondylitis and Its Correlation with Clinical Features. Human Immunology, 82, 404-408.
[11] 梁陶媛,田轩,王萌萌等.5A模式在困难性下腔静脉滤器取出术围术期的应用[J].中国临床研究,2023,36(11): 1760-1764.
[12] 韩运,窦庆寅,胡洪涌等.手术治疗强直性脊柱炎合并脊柱骨折脱位8例的回顾性分析[J].检验医学与临床,2017, 14(11): 1671-1673.
[13] 苏执操.5A护理模式对宫颈癌手术患者生命质量以及自我效能的影响[J].中国社区医师,2022,38(25):97-99.
[14] 薛月红.5A+5R护理模式用于老年人牙髓炎的效果[J].中国城乡企业卫生,2022,37(08):204-206.
[15] 江培兰,蔡照红,陈杰.5A护理模式对中青年2型糖尿病患者健康促进生活方式的影响研究[J].当代护士(上旬刊),2022,29(08):50-54.
[16] 李星.5A护理模式在心脏瓣膜置换术后患者中的应用观察[J].实用中西医结合临床,2022,22(14):104-107.
[17] 弓雪茹,古建平,朱冬梅.5A护理模式下的家庭心理护理对改善糖尿病患儿情绪及生活质量的影响[J].齐鲁护理杂志,2023,29(21):53-56.
[18] 王迪,张璐,张平.人性照护理论下“5A”护理模式对乳腺癌患者生活质量的影响[J].临床医学研究与实践,2023, 8(31): 152-155.