{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:26:24Z","timestamp":1786112784117,"version":"build-2736575974"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5,8]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      This study aims to evaluate the impact of an action research-based nursing program on patients with rheumatoid arthritis (RA) undergoing long-term hormone therapy. Eighty RA patients admitted to the Department of Rheumatology and Immunology from January 1, 2023, to May 31, 2024, and receiving long-term hormone therapy were recruited. Patients were randomized into 2 groups of 40 each: a control group receiving conventional care and an intervention group receiving care based on the action research method. Evaluations included daily measurements of fasting and 2-hour postprandial blood glucose levels, compliance assessed via a self-developed compliance scale with established reliability and validity, pain via a Visual Analog Scale, joint activity using the 28-joint Disease Activity Score, and anxiety and depression levels using self-rating scales. Baseline measurements showed no significant differences between the groups in fasting blood glucose, 2-hour postprandial blood glucose, pain, joint mobility, and anxiety and depression scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2005&gt;\u2005.05). Post-intervention, both groups exhibited improvements in compliance, pain, joint mobility, and anxiety and depression scores, with the intervention group showing significantly greater improvements. The intervention group showed significantly smaller increases in fasting and 2-hour postprandial blood glucose than the control group. The action research-based nursing program significantly enhances compliance and joint mobility, controls blood glucose increases, and reduces pain, anxiety, and depression in RA patients on long-term hormone therapy. This method provides a practical reference for clinical nursing intervention in such patients.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000048643","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:01:00Z","timestamp":1778745660000},"page":"e48643","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effects of an action research-based nursing program on rheumatoid arthritis patients on long-term hormone therapy: A randomized controlled trial"],"prefix":"10.1097","volume":"105","author":[{"given":"Lin","family":"Sun","sequence":"first","affiliation":[{"name":"Department of General Medicine, Yancheng No.1 People\u2019s Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Yancheng No.1 People\u2019s Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Yancheng No.1 People\u2019s Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4316-2157","authenticated-orcid":false,"given":"Chunfang","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Immunology, Yancheng No.1 People\u2019s Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260805","first-page":"14","article-title":"Clinical, laboratory and ultrasound thanges in early manifestations of rheumatoid arthritis.","volume":"1","author":"Habarina","year":"2016","journal-title":"Med Tr Prom Ekol"},{"key":"R2-20260805","first-page":"389","article-title":"Epidemiology of rheumatoid arthritis, clinical aspects and socio-economic determinants in Pakistani patients: a systematic review and meta-analysis.","volume":"69","author":"Naqvi","year":"2019","journal-title":"J Pak Med Assoc"},{"key":"R3-20260805","doi-asserted-by":"crossref","first-page":"e15118","DOI":"10.1111\/1756-185X.15118","article-title":"The impact of glucocorticoid use on the outcomes of rheumatoid arthritis in a multicenter ultrasound cohort study.","volume":"27","author":"Nonaka","year":"2024","journal-title":"Int J Rheum Dis"},{"key":"R4-20260805","first-page":"555","article-title":"Cost-effectiveness of modified-release prednisone in the treatment of moderate to severe rheumatoid arthritis with morning stiffness based on directly elicited public preference values.","volume":"5","author":"Dunlop","year":"2013","journal-title":"Clinicoecon Outcomes Res"},{"key":"R5-20260805","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ejr.2023.01.002","article-title":"Influence of perception of glucocorticoids on compliance of treatment in patients with rheumatoid arthritis and systemic lupus erythematosus.","volume":"45","author":"Abdelrahman","year":"2023","journal-title":"Egypt Rheumatol"},{"key":"R6-20260805","doi-asserted-by":"crossref","first-page":"1939","DOI":"10.1111\/jocn.13509","article-title":"Transition from an open-plan to a two-cot neonatal intensive care unit: a participatory action research approach.","volume":"26","author":"Broom","year":"2017","journal-title":"J Clin Nurs"},{"key":"R7-20260805","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/10749039.2010.513752","article-title":"Social scientific research and societal practice: action research and cultural-historical research in methodological light from Kurt Lewin and Lev S. 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