病友支持模式配合协作化的健康管理对再生障碍性贫血病人负面情绪及自护能力的影响

张萍; 江瑞; 周丽梅

doi:10.13898/j.cnki.issn.1000-2200.2023.09.031

病友支持模式配合协作化的健康管理对再生障碍性贫血病人负面情绪及自护能力的影响

Effects of patient support model combined with collaborative health management on negative emotion and self-care ability of patients with aplastic anemia

摘要

摘要:
目的研究病友支持模式配合协作化的健康管理在再生障碍性贫血(AA)病人护理管理中的应用价值。
方法选取90例AA病人，按随机数字表法分为观察组和对照组，各45例。对照组采用协作化的健康管理护理，观察组在对照组基础上予以病友支持模式护理。比较2组病人的治疗效果、负面情绪、自护能力以及生活质量。
结果2组病人的治愈率、缓解率、明显进步率以及总有效率差异均无统计学意义(P>0.05)。2组病人护理后躯体化、人际关系、抑郁、焦虑、敌对、恐惧以及偏执评分均低于护理前(P<0.05)，且观察组护理后躯体化、人际关系、抑郁、焦虑、敌对、恐惧以及偏执评分均明显低于对照组(P<0.01)。2组病人护理后自我概念、自我护理技能、自我护理知识以及自我护理责任感评分均高于护理前(P<0.05)，且观察组病人护理后自我概念、自我护理技能、自我护理知识以及自我护理责任感评分均明显高于对照组(P<0.01)。护理后，对照组病人一般健康状况、精力以及精神健康评分均高于护理前(P<0.05)，观察组病人一般健康状况、精力、社会功能、情感职能以及精神健康评分均高于护理前(P<0.05), 且观察组护理后社会功能、情感职能以及精神健康评分均高于对照组(P<0.05~P<0.01)。
结论病友支持模式配合协作化的健康管理有利于缓解AA病人的负面情绪，提高其自护能力，并改善病人生活质量。

Abstract:
ObjectiveTo study the application value of patient support model combined with collaborative health management in nursing management of patients with aplastic anemia (AA).
MethodsNinety AA patients were divided into the observation group and control group according the random number table method, with 45 cases in each group.The control group received cooperative health management nursing, and the observation group received patient support model nursing on the basis of the control group.The treatment effect, negative emotion, self-care ability and quality of life were compared between the two groups.
ResultsThere was no significant difference in the cure rate, remission rate, obvious improvement rate, and total response rate between the two groups (P>0.05).The scores of somatization, interpersonal relationship, depression, anxiety, hostility, fear and intolerance in the two groups after nursing were lower than those before nursing (P<0.05), and the scores of somatization, interpersonal relationship, depression, anxiety, hostility, fear and intolerance in the observation group after nursing were significantly lower than those in the control group (P<0.01).The scores of self-concept, self-care skill, self-care knowledge and self-care responsibility in the two groups after nursing were higher than those before nursing (P<0.05), and the scores of self-concept, self-care skill, self-care knowledge and self-care responsibility in the observation group after nursing were significantly higher than those in the control group (P<0.01).After nursing, the scores of overall health, energy and mental health in the control group were higher than those before nursing (P<0.05), the scores of overall health, energy and social function, emotional role and mental health in the observation group were higher than those before nursing (P<0.05), and the scores of social function, emotional role and mental health in the observation group were higher than those in the control group (P<0.05 to P<0.01).
ConclusionsPatient support model combined with collaborative health management is beneficial to alleviate negative emotion, improve self-care ability and quality of life of patients with AA.

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