三特三化延续性护理管理在弥漫大B细胞淋巴瘤患者中的应用  

Application of the Three-Characteristics and Three-Standardized continuing care management in patients with diffuse large B-cell lymphoma

作　　者：刘虹伶[1] 晏青霞 王美佳 杨利华 王清松[2] 徐一苇[1] 杜莉 Liu Hongling;Yan Qingxia;Wang Meijia;Yang Lihua;Wang Qingsong;Xu Yiwei;Du Li(Department of Hematology,Shangjin Hospital,West China Hospital,Sichuan University/Chengdu Shangjin Nanfu Hospital,Chengdu 611730,China;Department of Hematology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院上锦医院/成都上锦南府医院血液内科,成都611730 [2]四川大学华西医院血液内科,成都610041

出　　处：《保健医学研究与实践》2024年第11期91-98,共8页Health Medicine Research and Practice

基　　金：四川省科技计划项目(2020YFS0255)。

摘　　要：目的探讨三特三化延续性护理管理在弥漫大B细胞淋巴瘤患者中的应用效果,以期为制定弥漫大B细胞淋巴瘤患者的护理管理方案提供参考。方法选取四川大学华西医院上锦医院血液内科2018年1月—2023年3月收治的224例弥漫大B细胞淋巴瘤患者,采用简单随机法分为对照组与观察组,每组112例。对照组患者接受常规延续性护理管理,观察组患者接受三特三化延续性护理管理。比较2组患者干预前后的心理韧性水平、自我效能感、疲乏状况、生活质量,护理满意度及出院后1年内再住院与复发情况。结果干预前,2组患者康纳-戴维森心理韧性量表(CD-RISC)的坚韧、力量、乐观3个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者CD-RISC各维度评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者癌症自我效能评分量表的疾病、情绪、人际、配合4个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者癌症自我效能量表各维度评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者疲乏量表(Piper)的行为、情感、感觉、认知4个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者Piper各维度评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者癌症患者生活质量量表(FACT-G)的生理、社会、情感、功能4个维度评分比较,差异均无统计学意义(P>0.05);干预后,2组患者FACT-G各维度评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者的护理总满意率为98.21%(110/112),高于对照组的87.50%(98/112),差异有统计学意义(χ^(2)=9.692,P=0.002)。观察组患者再住院率与复发率为10.71%(12/112)和3.57%(4/112),低于对照组的26.79%(30/112)和14.29%(16/112),差异均有统计学意义Objective To explore the application effect of the Three-Characteristics and Three-Standardized continuing care management in patients with diffuse large B-cell lymphoma(DLBCL),aiming to provide a reference for the development of nursing management plans for these patients.Methods A total of 224 patients with DLBCL admitted to the Department of Hematology at Shangjin Hospital,West China Hospital,Sichuan University from January 2018 to March 2023 were selected and assigned to a control group and an observation group using a simple random method,with 112 cases in each group.The control group received conventional continuing care management,while the observation group received the Three-Characteristics and Three-Standardized continuing care management.The psychological resilience,self-efficacy,fatigue status,quality of life,degree of satisfaction with nursing,and rehospitalization and recurrence within 1 year after discharge were compared between the two groups before and after intervention.Results Before intervention,no significant differences were noted in the scores of the three subscales(resilience,strength,and optimism)of the Connor-Davidson Resilience Scale(CDRISC)between the two groups(P>0.05).The subscale scores of the CD-RISC scale in both groups increased significantly after intervention,and the observation group had significantly higher scores than the control group(P<0.05).Before intervention,no significant differences were found in the scores of the four subscales(disease,emotion,interpersonal,and cooperation)of the Cancer Self-Efficacy Scale between the two groups(P>0.05).The subscale scores of the Cancer Self-Efficacy Scale in both groups showed a significant increase after intervention,and the observation group had significantly higher scores than the control group(P<0.05).Before intervention,no significant differences were found in the scores of the four subscales(behavior,emotion,sensation,and cognition)of the Piper Fatigue Scale between the two groups(P>0.05).The subscale scores of the Piper Fatig

关 键 词：三特三化延续性护理 弥漫大B细胞淋巴瘤 癌症护理 自我效能感 心理韧性 生活质量 

分 类 号：R473.73[医药卫生—护理学]