AIDET沟通模式对初治白血病患者口服化疗药物治疗依从性的影响分析  

Analysis of the effect of AIDET communication mode on the compliance of oral chemotherapy in patients with newly diagnosed leukemia

作　　者：李佳颖 陈宁萍[1] 宫跃敏 Li Jiaying;Chen Ningping;Gong Yuemin(Department of Hematology,Jiangsu Provincial People′s Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)血液科,210029

出　　处：《中华保健医学杂志》2023年第5期562-565,共4页Chinese Journal of Health Care and Medicine

基　　金：国家自然科学基金(81900109)。

摘　　要：目的探讨问候-自我介绍-过程-解释-感谢(AIDET)沟通模式对初次治疗的白血病患者口服化疗药物依从性的影响。方法选取2020年2月~2022年12月江苏省人民医院收治的120例白血病化疗患者,随机数表法分为对照组(n=60,常规干预)和观察组(n=60,常规干预+AIDET沟通模式干预),比较两组患者干预前后的汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、自理能力测定量表(ESCA)评分、8条目Morisky用药依从性量表(MMAS-8)评分和患者满意度,以及HAMA评分、HAMD评分、ESCA评分与MMAS-8评分之间的关系。结果干预后,两组患者的HAMA评分、HAMD评分均降低,且观察组降低幅度大于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的自我概念、自我责任感、自理技能、健康知识水平和ESCA总分均升高,且观察组升高幅度大于对照组,差异有统计学意义(P<0.05)。干预后,观察组的MMAS-8评分高于对照组,用药依从性等级分布情况优于对照组,差异有统计学意义(P<0.05)。Pearson相关性分析显示,患者的MMAS-8评分与HAMA评分和HAMD评分呈负相关(r=-0.773、-0.591,P<0.001);与自我概念、自我责任感、自理技能、健康知识水平和ESCA总分呈正相关(r=0.679、0.590、0.702、0.758、0.823,P<0.001)。观察组患者总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论AIDET沟通模式可通过改善初治白血病患者的精神心理状态和自理能力,进而提高其用药依从性和满意度。Objective To explore the effect of acknowledge-introduction-duration-explain-thanks(AIDET)communication mode on the compliance of oral chemotherapy drugs in leukemia patients with initial treatment.Methods A total of 120 patients with leukemia chemotherapy in Jiangsu Provincial People′s Hospital from February 2020 to December 2022 were selected and randomly divided into control group(n=60,routine intervention)and observation group(n=60,routine intervention+AIDET communication mode intervention).The Hamilton anxiety(HAMA)score,Hamilton depression(HAMD)score,exercise of self-care agency(ESCA)score,Morisky medication adherence scale-8(MMAS-8)and patient satisfaction were compared between the two groups before and after intervention.And the relationship between HAMA score,HAMD score,ESCA score and MMAS-8.Results After intervention,the HAMA score and HAMD score of the two groups decreased,and the decrease of the observation group was greater than that of the control group(P<0.05).After intervention,the self-concept,self-responsibility,self-care skills,health knowledge level and ESCA total score of the two groups increased,and the increase in the observation group was greater than that in the control group(P<0.05).After intervention,the MMAS-8 score of the observation group was higher than that of the control group,and the distribution of medication compliance grade was better than that of the control group(P<0.05).Pearson correlation analysis showed that MMAS-8 was negatively correlated with HAMA score and HAMD score(r=-0.773,-0.591,P<0.001),and positively correlated with self-concept,self-responsibility,self-care skills,health knowledge level and ESCA total score(r=0.679,0.590,0.702,0.758,0.823,P<0.001).The total satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion AIDET communication mode can improve the medication compliance and nursing satisfaction of patients with newly diagnosed leukemia by improving their mental state and self-care ability.

关 键 词：AIDET沟通模式 白血病 化疗 治疗依从性 

分 类 号：R55[医药卫生—血液循环系统疾病]