The "5A" Management Model Was Used to Study Navy Patients with Ankylosing Spondylitis

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.