Impact of a High-Quality Nursing Model on Patient Outcomes in Rheumatology: A Randomized Controlled Study

Abstract

Objective: To enhance the overall nursing effectiveness in the rheumatology and immunology department, explore specific strategies to improve nursing quality using a high-quality care model, and develop a comprehensive nursing system. Methods: A total of 120 hospitalized patients with rheumatoid arthritis from 2022 to January 2024 were selected. These patients were randomly divided into two groups: an observation group (60 patients) and a control group (60 patients). The control group received conventional nursing care, which included creating a good care environment, providing drug guidance, and offering psychological support. In the observation group, a high-quality nursing model was implemented with a focus on meeting the specific needs of the patients. The two groups were compared in terms of complication rates, treatment compliance, nurse-patient disputes, patient satisfaction with nursing care, sleep quality (PSQI score), and pain levels (VAS score). Results: The incidence of complications in the observation group was 3.33%, significantly lower than that of the control group, with a statistically significant difference (P < 0.05). Nursing compliance in the observation group was 100%, and patient satisfaction was 96.67%, both higher than in the control group, with a statistically significant difference (P < 0.05). Additionally, the VAS pain score in the observation group decreased to 2.12 ± 1.89, and the PSQI sleep quality score decreased to 6.89 ± 0.33, both lower than in the control group, with statistically significant differences (P < 0.05). Conclusion: Focusing on the needs of patients through a high-quality nursing model provides targeted care that improves overall nursing effectiveness for patients with rheumatoid arthritis. This approach enhances patient satisfaction with nursing care, increases treatment compliance, reduces the incidence of complications and nurse-patient disputes, improves sleep quality, and alleviates pain. This model holds significant value for broader applications.