The improvement of exercise self-efficacy in rheumatoid arthritis patients under the guidance of cognitive balance theory and the continuation of ternary linkage nursing
认知平衡理论指导下的三元联动延续护理对类风湿关节炎患者运动自我效能的提升

摘要

目的 分析认知平衡理论指导下的三元联动延续护理对类风湿关节炎（RA）患者运动自我效能的提升。方法 将我院于2023.08月-2024.08月收治的70例RA患者作为研究对象，通过随机数字表法分为对照组与观察组，每组各35例。对照组应用常规出院指导，观察组应用认知平衡理论指导下的三元联动延续护理，对比两组护理效果。结果 观察组知信行水平、运动自我效能评分、生活质量评分显著优于对照组，组间对比明显（P＜0.05）。结论 认知平衡理论指导下的三元联动延续护理对RA患者护理效果显著，可有效提升其健康知识掌握程度，并促进其运动自我效能的提升，从而促进其生活质量的提高。因此，可在临床护理中推广应用。

Abstract

Objective To analyze the improvement of exercise self-efficacy in rheumatoid arthritis (RA) patients under the guidance of cognitive balance theory and the three element linkage continuation nursing.
Methods 70 RA patients admitted to our hospital from August 2023 to August 2024 were selected as the research subjects. They were randomly divided into a control group and an observation group using a random number table method, with 35 patients in each group. The control group received routine discharge guidance, while the observation group received three element linkage continuation nursing guided by cognitive balance theory. The nursing effects of the two groups were compared.
Results The observation group showed significantly better levels of knowledge, belief, and action, exercise self-efficacy scores, and quality of life scores compared to the control group, with significant inter group comparisons (P<0.05).
Conclusion   Under the guidance of cognitive balance theory, the three element linkage continuation nursing has a significant nursing effect on RA patients, which can effectively improve their mastery of health knowledge and promote the improvement of their exercise self-efficacy, thereby promoting the improvement of their quality of life. Therefore, it can be promoted and applied in clinical nursing.