首页|精准护理模式对发热伴血小板减少综合征患者的干预效果

精准护理模式对发热伴血小板减少综合征患者的干预效果

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目的 探讨精准护理模式对发热伴血小板减少综合征患者的干预效果。方法 选取烟台市奇山医院2016年2月至2020年12月收治的发热伴血小板减少综合征患者97例,按随机数字表法分为对照组49例和观察组48例。对照组男性30例、女性19例,年龄(48。12±6。04)岁;观察组男性30例、女性18例,年龄(48。52±6。35)岁。对照组实施认知与行为护理,观察组在对照组基础上进行精准护理模式,护理时间均为2个月。对比两组患者的护理前后知信行认知水平、一般自我效能感量表(GSES)评分、生活质量和护理期间血小板输注次数。采用独立样本t检验、配对t检验、x2检验。结果 护理后,观察组的知信行认知评分、GSES评分、生活质量评分均高于对照组[(22。71±1。35)分比(21。15±1。21)分、(28。61±1。48)分比(22。60±2。64)分、(87。37±11。55)分比(75。09±10。85)分],差异均有统计学意义(t=5。996、13。791、5。398,均P<0。001)。观察组护理期间血小板输注次数为(2。63±0。24)次,对照组为(3。68±0。52)次,差异有统计学意义(t=12。724,P<0。001)。结论 精准护理模式在发热伴血小板减少综合征患者中,有利于提高知信行认知水平,改善患者自我效能、降低血小板输注次数,还可提高生活质量,值得在临床进行推广与应用。
Intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome
Objective To investigate the intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome.Methods A total of 97 patients with fever with thrombocytopenia syndrome admitted to Yantai Qishan Hospital from February 2016 to December 2020 were selected and were divided into an observation group(48 patients)and a control group(49 patients)with the random number table method.The control group included 30 males and 19 females,aged(48.12±6.04)years.The observation group included 30 males and 18 females,aged(48.52±6.35)years.The control group carried out cognitive and behavioral nursing,and the observation group carried out precise nursing model on the basis of the control group for 2 months.The cognitive levels of knowledge-attitude-practice,the scores of General Self-Efficacy Scale(GSES),and the qualities of life before and after nursing and the times of platelet transfusion during nursing were compared between the two groups.Independent sample t test,paired t test,and x2 test were used.Results After nursing,the cognitive score of knowledge-attitude-practice,GSES score,and score of quality of life in the observation group were higher than those in the control group[(22.71± 1.35)points vs.(21.15±1.21)points,(28.61±1.48)points vs.(22.60±2.64)points,(87.37± 11.55)points vs.(75.09±10.85)points],with statistically significant differences(t=5.996,13.791,and 5.398,all P<0.001).The times of platelet transfusion was(2.63±0.24)times in the observation group and(3.68±0.52)times in the control group,with a statistically significant difference(t=12.724,P<0.001).Conclusion In patients with fever with thrombocytopenia syndrome,precision nursing model is beneficial to improve the cognitive level of knowledge-attitude-practice,improve the patients'self-efficacy,reduce the times of platelet infusion,and improve the patients'quality of life,which is worthy of clinical promotion and application.

FeverThrombocytopenia syndromePrecision nursing modelSelf-efficacyQuality of life

贺军宁、孙秀香、王鹏雁

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烟台市奇山医院消毒供应室,烟台 264000

烟台市奇山医院呼吸内科,烟台 264000

烟台市奇山医院科教科,烟台 264000

发热 血小板减少综合征 精准护理模式 自我效能 生活质量

烟台市科技计划项目

2018YT06000578

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(4)
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