The Application Effect of a Quantitative Evaluation System Based on Nursing-sensitive Indicators in Patients with Rheumatoid Arthritis.

This study aims to assess the effectiveness of comprehensive care guided by a quantitative evaluation system of nursing-sensitive indicators on clinical outcomes in patients with rheumatoid arthritis. A total of 88 patients with RA were randomly assigned to a control group, receiving routine care, and the observation group received comprehensive nursing care according to nursing sensitive indicators, including (1) psychological nursing. (2) Pain care. (3) Discharge nursing. The quantitative evaluation system based on nursing-sensitive indicators (including clinical symptom control, quality of life, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), rheumatoid factor (R.F.) levels and pain scores, self rating anxiety scale (SAS), self-rating depression scale (SDS), visual analogue scale (VAS), Pittsburgh sleep index scale (PSQI)) was compared Differences in scores, shame scale scores, and nursing satisfaction. Compared with the control group, the observation group showed significant improvements in joint tenderness, morning stiffness, ESR, CRP, rf levels and quality of life, while scores of anxiety, depression, pain, sleep disturbance and shame were also significantly reduced (P < .05). Comprehensive nursing improved nursing satisfaction of ra patients, and decreased negative emotion score, VAS score, PSQI score and sense of shame. Comprehensive nursing can improve the clinical control of patients, which highlights the value of comprehensive nursing.