慢性疾病管理模式联合自我效能提升护理对白血病患者干预效果及生活质量的影响  

Effect of Chronic Disease Management Model Combined with Selfefficacy Enhancement Nursing Intervention Effect and Quality of Life of Leukemia Patients

作　　者：孙茜 杨敏 刘文文 SUN Qian;YANG Min;LIU Wenwen(Department of Hematology,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu Province,221000 China)

机构地区：[1]徐州医科大学附属医院血液科,江苏徐州221000

出　　处：《中外医疗》2023年第22期171-175,共5页China & Foreign Medical Treatment

摘　　要：目的探讨慢性疾病管理模式联合自我效能提升护理对白血病患者的干预效果及其生活质量的影响。方法方便选取2022年3月—2023年4月徐州医科大学附属医院收治的76例白血病患者为研究对象,采用随机数表法分为两组,每组38例。对照组给予常规护理及慢性疾病管理模式,观察组在对照组基础上给予自我效能提升护理干预。对比两组干预前后对疾病相关知识掌握程度、心理状态改善情况、睡眠质量评分、自我护理能力、自我效能感及生活质量改善情况。结果观察组患者对疾病相关知识掌握程度评分优于对照组,差异有统计学意义(P<0.05)。观察组患者心理健康测评量表(Mental Health Self-Assessment Scale,SLC-90)评分及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)均低于对照组,差异有统计学意义(P<0.05)。观察组患者自我护理能力量表(Self-care Ability Scale,ESCA)评分及情绪调节自我效能感量表(Emotional Regulation Self-Efficacy Scale,SRESE)评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者健康调查简表(Health Survey Summary Form,SF-36)评分(93.23±4.58)分高于对照组的(86.64±4.75)分,差异有统计学意义(t=6.157,P<0.05)。结论慢性疾病管理模式联合自我效能提升护理对白血病患者的干预,可提高其对疾病相关知识的掌握程度,改善其心理状态,提高睡眠质量、自我护理能力及自我效能感,显著提升生活质量。Objective To explore the effect of chronic disease management model combined with self-efficacy en-hancement nursing on the intervention and quality of life of leukemia patients.Methods A total of 76 patients with leukemia admitted to the Affiliated Hospital of Xuzhou Medical University from March 2022 to April 2023 were conve-niently selected as the study objects and divided into two groups by random number table method,with 38 cases in each group.The control group was given routine nursing and chronic disease management mode,and the observation group was given self-efficacy improvement nursing intervention on the basis of the control group.The mastery of disease-related knowledge,improvement of psychological state,sleep quality score,self-care ability,self-efficacy and improvement of quality of life were compared between the two groups before and after intervention.Results The score of disease-related knowledge in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The scores of Mental Health Self-Assessment Scale(SLC-90)and Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group,and the difference was statis-tically significant(P<0.05).The scores of Self-care Ability Scale(ESCA)and Emotional Regulation Self-Efficacy Scale(SRESE)in the observation group were higher than those in the control group,and the differences were statisti-cally significant(P<0.05).The health survey summary form(SF-36)score of the observation group(93.23±4.58)points was higher than that of the control group(86.64±4.75)points,and the difference was statistically significant(t=6.157,P<0.05).Conclusion Chronic disease management mode combined with self-efficacy enhancement nursing in-tervention for leukemia patients can improve their knowledge of disease-related knowledge,improve their psychologi-cal state,improve sleep quality,self-care ability and self-efficacy,and significantly improve the quality of life.

关 键 词：慢性疾病管理模式 自我效能 白血病 心理状态 自我护理能力 生活质量 

分 类 号：R47[医药卫生—护理学]