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| 医共体模式下延续性护理在非重型再生障碍性贫血患者中的应用效果 |
| The intervention effect of continuous nursing on patients with non-severe aplastic anemia under county medical community model |
| 投稿时间：2022-02-21 |
| DOI：10.3969/j.issn.1000-0399.2022.08.018 |
| 中文关键词: 医共体模式 延续性护理 非重型再生障碍性贫血 干预效果 |
| 英文关键词: County medical community model Continuous care Non-severe aplastic anemia Intervention effect |
| 基金项目:中华护理学会2019年立项科研课题(项目编号:ZHKY201914) |
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| 中文摘要: |
| 目的 探讨医共体模式下延续性护理在非重型再生障碍性贫血患者护理工作中的应用价值。方法 选取2020年4月至2021年8月濉溪县医院收治的非重型再生障碍性贫血患者作为研究对象,依据出院后是否属于本院医共体成员单位慢病管理的患者分为观察组(本院医共体成员单位慢病管理的患者)25例和对照组(出院后不在本城区居住)28例。对照组给予常规护理,观察组患者在常规护理基础上给予医共体模式下的延续性护理干预。采用服药依从性调查问卷、自我健康管理能力评估量表对两组患者出院前、干预后3个月、6个月的服药依从性及自我健康管理能力(认知能力、行为生活方式、心理状况、社会环境、治疗依从性)进行评价和比较。结果 重复测量方差分析结果提示两组患者服药依从性、自我健康管理能力随时间延长均有所改善。出院后6个月时,观察组服药依从性水平明显高于对照组,差异有统计学意义(F=5.933,P=0.018);自我健康管理能力方面,两组患者的认知能力、行为生活方式、心理状况、社会环境、治疗依从性的比较,组间效应差异有统计学意义(P＜0.001)。结论 医共体模式下的延续性护理可以有效提高非重型再生障碍性贫血患者的服药依从性和自我健康管理能力,提高患者生活质量水平。 |
| 英文摘要: |
| Objective To explore the application value of continuous nursing in non-severe aplastic anemia patients under medical community mode. Methods Fifty-three cases of patients with severe aplastic anemiaadmitted to Suixi County Hospital from March 2020 to August 2021 were selected as the research object.By using stochastic indicator, 25 cases were divided into observation group and 28 casesinto control group. The control group wasgiven routine nursing care, while the observation group received the continuous nursing intervention under the medical community modelon the basis of routine care. Medication compliance questionnaire and self-health management ability assessment scale were used to evaluate and compare the medication compliance and self-health management ability (cognitive ability, behavioral lifestyle, psychological status, social environment and treatment compliance) of patients in the two groups before discharge and three months and six months after intervention. Results The repeated measurement variance suggested that medication compliance and self-health management ability of patients in both groups improved over time. Six months after discharge, the medication compliance level of the observation group was significantly higher than that of the control group, with statistical significance (F=5.933,P=0.018). In terms of self-health management ability, there were significant differences in cognitive ability, behavioral lifestyle, psychological status, social environment and treatment compliance between the two groups (P<0.001).Conclusions Continuous care under the medical community model can effectively improve the medication compliance and self-health management ability of patients with non-severe aplastic anemia, which is of great significance to improve the quality of life of patients. |
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