首页|基于梅勒斯转变理论的健康宣教配合亲情式叙事护理在淋巴瘤PICC患者中的应用

基于梅勒斯转变理论的健康宣教配合亲情式叙事护理在淋巴瘤PICC患者中的应用

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目的 探讨基于梅勒斯转变理论的健康宣教配合亲情式叙事护理对淋巴瘤患者经外周静脉穿刺中心静脉置管(PICC)维护依从性的影响,以期为制定淋巴瘤PICC患者的临床护理策略提供参考.方法 选取2022年3月-2023年5月南通大学附属肿瘤医院收治的122例淋巴瘤PICC患者为研究对象,根据患者接受护理方案不同分为传统护理组(59例)与新型护理组(63例).传统护理组患者接受常规护理干预,新型护理组患者在传统护理组基础上联合基于梅勒斯转变理论的健康宣教配合亲情式叙事护理干预.比较2组患者的PICC导管维护依从性、PICC过程中不良事件发生情况、自我管理能力和自我效能感水平、心理状况以及护理满意度等指标.结果 新型护理组患者的导管维护依从率为98.41%(62/63),高于传统护理组的88.13%(52/59),差异有统计学意义(x2=5.252,P=0.022).干预前,2组患者自我管理能力评分及GSES评分比较,差异均无统计学意义(P>0.05);干预后,2组患者自我管理能力评分及一般自我效能感量表(GSES)评分均高于干预前,且新型护理组高于传统护理组,差异均有统计学意义(P<0.05).干预前,2组患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较,差异均无统计学意义(P>0.05);干预后,2组患者SAS及SDS评分均低于干预前,且新型护理组低于传统护理组,差异均有统计学意义(P<0.05).新型护理组患者干预期间不良事件发生率为9.52%(6/63),低于传统护理组的28.81%(17/59),差异有统计学意义(x2=7.410,P=0.006).新型护理组患者宣教、聆听、演示以及启发4项护理满意度评分均高于传统护理组,差异均有统计学意义(P<0.05).结论 基于梅勒斯转变理论的健康宣教配合亲情式叙事护理干预用于淋巴瘤PICC患者,能有效提升患者导管维护依从性,提高自我管理能力和自我效能感水平,减轻负性情绪,降低不良事件发生风险,提升患者满意度,值得在临床推广应用.
Application of health education based on Meleis transition theory and family narrative care in lymphoma patients with PICC
Objective To explore the effect of health education based on Meleis transition theory combined with family narra-tive care on the compliance of peripherally inserted central catheter (PICC) maintenance in lymphoma patients,aiming to provide a reference for clinical care strategies.Methods Clinical data of 122 lymphoma patients with PICC from March 2022 to May 2023 were retrospectively analyzed.They were assigned to a conventional care group (59 patients) and a novel care group (63 patients).The conventional care group received routine care,while the novel care group received additional health education and family narrative care based on Meleis transition theory.PICC maintenance compliance,adverse events during PICC,self-management ability,self-efficacy,psychological status,and degree of satisfaction with care were compared.Re-sults The novel care group had a significantly higher PICC maintenance compliance rate than the conventional care group[98.41% (62/63) vs.88.13% (52/59);x2=5.252,P=0.022).Before the intervention,there were no significant differ-ences in the self-management ability scores and General Self-Efficacy Scale (GSES) scores between the two groups (P>0.05).After the intervention,both groups showed higher self-management ability scores and GSES scores compared to be-fore the intervention,and the scores in the novel care group were significantly higher than those in the conventional care group (P<0.05).Before the intervention,there were no significant differences in the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores between the two groups (P>0.05).After the intervention,both groups showed significantly lower SAS and SDS scores compared to before the intervention,and the scores in the novel care group were sig-nificantly lower than those in the conventional care group (P<0.05).The incidence of adverse events during the interven-tion period in the novel care group was significantly lower than that in the conventional care group[9.52% (6/63) vs.28.81% (17/59);x2=7.410,P=0.006].The satisfaction scores for education,listening,demonstration,and inspiration in the novel care group were significantly higher than those in the conventional care group (P<0.05).Conclusion Health education based on Meleis transition theory combined with family narrative care effectively improves PICC maintenance com-pliance,self-management,and self-efficacy,reduces negative emotions and adverse events,and increases the patient's degree of satisfaction,holding promise for a wider clinical application.

Meleis transition theoryPeripherally inserted central catheterFamily narrative careNegative emotionsTreatment compliance

顾莉、葛晓霞、徐小红、沙锦芳、马卫平

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南通大学附属肿瘤医院肿瘤内科,江苏南通 226000

梅勒斯转变理论 经外周静脉穿刺中心静脉置管 亲情式叙事护理 负性情绪 治疗依从性

国家自然科学基金资助项目

81670196

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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