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信息-动机-行为技巧模式的延续护理对血液肿瘤患者照顾者的影响

Effect of transitional care based on IMB model in hematological neoplasms caregivers

摘要:

目的 探讨基于信息-动机-行为技巧模式(IMB)的延续性护理对血液肿瘤患者照顾者的影响.方法 选择2017年5月至2018年9月中山大学附属第三医院化疗的血液肿瘤患者照顾者200名为研究对象,按照随机数字表法分为研究组和对照组各100名,最终研究组82例、对照组85例完成研究.研究组采用基于IMB的延续性护理干预对患者照顾者进行干预,对照组采用常规护理.采用一般资料调查表、照顾者积极感受量表、中文版疾病获益感量表、护理质量满意度调查表对患者照顾者进行调查.结果 护理干预后研究组照顾者积极感受量表中自我肯定、自我展望维度评分分别为(18.41 ± 5.65)、(18.87 ± 4.23)分,高于对照组的(14.56 ± 5.83)、(15.24 ± 4.59)分,差异有统计学意义(t=2.476、5.287,P<0.05或0.01).研究组照顾者患者疾病获益感量表中接受、家庭关系、个人成长、社会关系、健康行为维度评分分别为(10.41 ± 3.12)、(9.87 ± 3.93)、(22.41 ± 5.12)、(10.22 ± 3.52)、(9.65 ± 3.17)分,高于对照组的(9.06 ± 3.87)、(8.14 ± 4.19)、(19.51 ± 5.24)、(8.47 ± 3.61)、(7.52 ± 3.74)分,差异有统计学意义(t=2.476~3.963,P<0.05或0.01).研究组照顾者护理满意度为75.61%(62/82),高于对照组的42.35%(36/85),差异有统计学意义(χ2=19.039,P<0.01).结论 基于IMB模式的延续性护理,有助于改善血液肿瘤患者照顾者的积极感受,增强其疾病获益,提高护理质量.

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abstracts:

Objective To investigate the impact of transitional care based on IMB model on caregivers of patients with hematological malignancies. Methods A total of 200 patients with hematological neoplasms who were treated with chemotherapy in our hospital from May 2017 to September 2018 were selected, their caregivers were also selected as the research objects, and they were randomly divided into the study group with 82 cases and control group with 85 cases. The study group used a transitional care based on IMB model to intervene the patient caregivers, and the control group received routine nursing care. The general data questionnaire, the Caregiver Positive Feeling Scale (PAC), the Chinese version of Benefit Finding Scale (BFS), the nursing quality satisfaction questionnaire were used to investigate the caregivers. Results After nursing intervention, the self-affirmation and self-expected dimension scores of PAC in the study group were 18.41±5.65, 18.87±4.23, which were higher than those in the control group (14.56±5.83, 15.24±4.59), the difference was statistically significant (t=2.476, 5.287, P<0.05 or 0.01). The acceptance, family relationship, personal growth, social relations and health behaviors dimension scores of BHS scale in the study group were 10.41±3.12, 9.87±3.93, 22.41±5.12, 10.22±3.52, 9.65±3.17, which were higher than those in the control group 9.06±3.87, 8.14±4.19, 19.51± 5.24, 8.47±3.61, 7.52±3.74, the difference was statistically significant (t=2.476-3.963, P<0.05 or 0.01). The nursing satisfaction degree of caregivers in the study group was 75.61% (62/82), which was higher than that in the control group 42.35% (36/85), the difference was statistically significant (χ2=19.039, P<0.01). Conclusions Transitional care based on the IMB model can improve the positive feelings in hematological neoplasms caregivers, enhance their benefit findings, and improve the quality of nursing care.

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