Effect of nursing intervention based on continuity model on psychological stress state of patients with rheumatoid arthritis.

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.

[Value of bronchoalveolar lavage as a rescue measurement for systemic lupus erythematosus complicated with diffuse alveolar hemorrhage].

OBJECTIVE: To explore the value of bronchoalveolar lavage as an emergency treatment for systemic lupus erythematosus (SLE) patients with concurrent diffuse alveolar hemorrhage (DAH). METHODS: A total of 21 SLE plus DAH patients were divided randomly into 2 groups. The patients in Group A received methylprednisolone 1000 mg/d for 3 days while those in Group B methylprednisolone 1000 mg/d for 3 days in combination with a bronchoalveolar lavage. Partial pressure of carbon dioxide (PaCO2), partial pressure of oxygen (PaO2), oxygen saturation (SaO2) and Borg scale (BS) for quantitative evaluation of dyspnea were recorded before and after treatment. RESULTS: Except for PaCO2, all other parameters of blood gas analysis in all patients in Group A (P > 0.05) were better after treatment than before (all P < 0.05). After treatment, PaO2 and SaO2 in Group B were higher than those in Group A (all P < 0.05), but PaCO2 was not markedly changed (P > 0.05). BS decreased significantly in both groups (both P < 0.01). And more decrease was observed in Group B as compared with Group A after treatment (P < 0.05). CONCLUSION: Bronchoalveolar lavage plus a high-dose implosive therapy of methylprednisolone may alleviate hypoxemia and dyspnea in acute period of SLE complicated with DAH.