精准护理模式对发热伴血小板减少综合征患者的干预效果  

Intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome

作　　者：贺军宁 孙秀香 王鹏雁 He Junning;Sun Xiuxiang;Wang Pengyan(Disinfection and Supply Room,Yantai Qishan Hospital,Yantai 264000,China;Department of Respiratory Medicine,Yantai Qishan Hospital,Yantai 264000,China;Department of Science and Education,Yantai Qishan Hospital,Yantai 264000,China)

机构地区：[1]烟台市奇山医院消毒供应室,烟台264000 [2]烟台市奇山医院呼吸内科,烟台264000 [3]烟台市奇山医院科教科,烟台264000

出　　处：《国际医药卫生导报》2024年第4期674-677,共4页International Medicine and Health Guidance News

基　　金：烟台市科技计划项目(2018YT06000578)。

摘　　要：目的探讨精准护理模式对发热伴血小板减少综合征患者的干预效果。方法选取烟台市奇山医院2016年2月至2020年12月收治的发热伴血小板减少综合征患者97例,按随机数字表法分为对照组49例和观察组48例。对照组男性30例、女性19例,年龄(48.12±6.04)岁;观察组男性30例、女性18例,年龄(48.52±6.35)岁。对照组实施认知与行为护理,观察组在对照组基础上进行精准护理模式,护理时间均为2个月。对比两组患者的护理前后知信行认知水平、一般自我效能感量表(GSES)评分、生活质量和护理期间血小板输注次数。采用独立样本t检验、配对t检验、χ^(2)检验。结果护理后,观察组的知信行认知评分、GSES评分、生活质量评分均高于对照组[(22.71±1.35)分比(21.15±1.21)分、(28.61±1.48)分比(22.60±2.64)分、(87.37±11.55)分比(75.09±10.85)分],差异均有统计学意义(t=5.996、13.791、5.398,均P<0.001)。观察组护理期间血小板输注次数为(2.63±0.24)次,对照组为(3.68±0.52)次,差异有统计学意义(t=12.724,P<0.001)。结论精准护理模式在发热伴血小板减少综合征患者中,有利于提高知信行认知水平,改善患者自我效能、降低血小板输注次数,还可提高生活质量,值得在临床进行推广与应用。Objective To investigate the intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome.Methods A total of 97 patients with fever with thrombocytopenia syndrome admitted to Yantai Qishan Hospital from February 2016 to December 2020 were selected and were divided into an observation group(48 patients)and a control group(49 patients)with the random number table method.The control group included 30 males and 19 females,aged(48.12±6.04)years.The observation group included 30 males and 18 females,aged(48.52±6.35)years.The control group carried out cognitive and behavioral nursing,and the observation group carried out precise nursing model on the basis of the control group for 2 months.The cognitive levels of knowledge-attitude-practice,the scores of General Self-Efficacy Scale(GSES),and the qualities of life before and after nursing and the times of platelet transfusion during nursing were compared between the two groups.Independent sample t test,paired t test,andχ^(2)test were used.Results After nursing,the cognitive score of knowledge-attitude-practice,GSES score,and score of quality of life in the observation group were higher than those in the control group[(22.71±1.35)points vs.(21.15±1.21)points,(28.61±1.48)points vs.(22.60±2.64)points,(87.37±11.55)points vs.(75.09±10.85)points],with statistically significant differences(t=5.996,13.791,and 5.398,all P<0.001).The times of platelet transfusion was(2.63±0.24)times in the observation group and(3.68±0.52)times in the control group,with a statistically significant difference(t=12.724,P<0.001).Conclusion In patients with fever with thrombocytopenia syndrome,precision nursing model is beneficial to improve the cognitive level of knowledge-attitude-practice,improve the patients'self-efficacy,reduce the times of platelet infusion,and improve the patients'quality of life,which is worthy of clinical promotion and application.

关 键 词：发热 血小板减少综合征 精准护理模式 自我效能 生活质量 

分 类 号：R473.5[医药卫生—护理学]