摘要
目的探讨绘画疗法联合个体化目标式健康教育对多发性骨髓瘤患者希望水平及自护能力的影响。方法以2019年就诊的97例多发性骨髓瘤患者为观察对象,其中1-6月就诊的48例患者(观察组)接受常规专科护理,7-12月就诊的49例患者接受绘画疗法联合个体化目标式健康教育,在干预前和干预6个月后,记录2组VAS评分,比较2组自我护理能力测定量表、Herth希望量表、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)的评分情况。结果干预后,观察组VAS评分低于对照组,Herth希望量表评分高于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者健康知识水平、自我护理能力、自我概念、自护责任感评分均高于干预前,HAMD、HAMA评分均低于干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。结论绘画疗法联合个体化目标式健康教育可降低多发性骨髓瘤患者出院后骨痛程度,提高其希望水平及自护能力并改善心理状况。
Objective To explore the effects of painting therapy combined with individualized targeted health education on hope level and self-care ability of patients with multiple myeloma.Methods A total of 97 patients with multiple myeloma who visited the hospital in 2019 were enrolled as observation objects.Among them,48 patients(observation group)admitted from January to June received routine specialized nursing,while 49 patients admitted from July to December received painting therapy combined with individualized targeted health education.The VAS scores of the two groups were recorded and the scores of self-care ability assessment scale,Herth hope scale,Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were compared between the two groups both before and 6 months after intervention.Results After intervention,the VAS score of the observation group was lower than that of the control group.The scores of Herth hope scale of the observation group were higher than those of the control group.The differences were statistically significant(P<0.05).After intervention,the scores of health knowledge level,self-care ability,self-concept and self-care responsibility of both groups were higher than before and the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were lower than before.The outcome was better in the observation group than the control group.The differences were statistically significant(P<0.05).Conclusions Painting therapy combined with individualized targeted health education could reduce the degree of bone pain of patients with multiple myeloma after discharge,strengthen hope level and self-care ability,and improve psychological status.
作者
周丽丽
李红
刘琴芳
纪李慧
张隽瑜
ZHOU Lili;LI Hong;LIU Qinfang;JI Lihui;ZHANG Juanyu(Department of Hematology,Lishui Municipal Central Hospital,Lishui 323000,China)
出处
《健康研究》
CAS
2022年第1期26-29,共4页
Health Research
基金
浙江省医药卫生科技计划项目(2020376298)。
关键词
多发性骨髓瘤
绘画疗法
健康管理
健康教育
希望水平
multiple myeloma
painting therapy
health management
health education
hope level
