摘要
目的:探讨微信平台延伸护理干预模式在造血干细胞移植 (HSCT) 患者中的实施效果。方法:选取2017年3月—2020年10月郑州大学附属肿瘤医院收治的76例HSCT患者作为研究对象,按入院时间分为观察组和常规组,每组各38例。常规组采用常规护理,观察组在常规护理基础上采用微信平台延伸护理干预模式。比较两组患者依从性和干预前后抑郁自评量表 (SDS)、焦虑自评量表 (SAS)、自我护理能力量表 (ESCA)、自我效能感量表 (GSES)、骨髓移植生命质量测评量表 (FACT-BMT) 评分。结果:观察组患者依从率 (94.74%) 与常规组依从率 (84.21%) 比较,差异无统计学意义(χ^(2)=1.257,P>0.05);干预后,观察组患者SDS、SAS 评分较常规组低,差异有统计学意义 (t=8.112、15.235,P<0.05);干预后,观察组患者ESCA、GSES 评分较常规组高,差异有统计学意义 (t=33.972、3.856,P<0.05);干预后,观察组患者FACT-BMT 评分较常规组高,差异有统计学意义 (t=2.036,P<0.05)。结论:微信平台延伸护理干预模式在HSCT患者中应用效果显著,可减轻患者负性情绪,改善依从行为,提高自护能力、自我效能感及生活质量。
Objective: To explore the effect of extended nursing intervention model based on wechat platform in patients undergoing hematopoietic stem cell transplantation(HSCT). Methods: A total of 76 patients with HSCT in the hospital from March 2017 to October 2020 were selected and divided into an observation group and a routine group according to the admission time, with 38 cases in each group. The routine group adopted routine nursing, and the observation group adopted the WeChat platform extended nursing intervention mode on the basis of the routine group. The scores of self-rating depression scale (SDS) , self-rating anxiety scale (SAS), self-care ability scale (ESCA), self-efficacy scale (GSES) and bone marrow transplantation quality of life scale (FACT-BMT) were compared between the two groups. Results: There was no statistically significant difference in the compliance rate of patients in the observation group (94.74%) and the routine group (84.21%, χ^(2)=1.257, P>0.05). After intervention, the SDS and SAS scores of the observation group were lower than those of the routine group, and the difference was statistically significant (t=8.11215.235, P<0.05). After intervention, the ESCA and GSES scores of the observation group were higher than those of the routine group, and the difference was statistically significant (t=33.972, 3.856, P<0.05). After the intervention, the FACT-BMT score of the observation group was higher than that of the routine group, and the difference was statistically significant (t=2.036, P<0.05)Conclusion: The extended nursing intervention model on the WeChat platform has a significant effect in the application of HSCT patients, which can reduce the negative emotions of patients, improve compliance behavior, and improve self-care ability, self-efficacy and quality of life.
作者
郭文静
GUO Wen-jing(Department of Hematology,Cancer Hospital Affiliated to Zhengzhou University,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第16期2037-2039,共3页
Heilongjiang Medical Journal
基金
河南省自然科学基金项目(182102310504)。
关键词
微信平台
造血干细胞移植
延伸护理
自护能力
WeChat platform
Hematopoietic stem cell transplantation
Extended care
Self-care ability
