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多维驱动融合冰山理论的护理模式对白血病化疗患者的影响

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目的:探究多维驱动融合冰山理论的护理模式对白血病化疗患者的影响。方法:选取 2023 年 1-5 月在镇江市第一人民医院接受化疗的 98 例白血病患者作为研究对象。根据随机数表法分为对照组和研究组,各 49 例。对照组采用常规护理,研究组在对照组的基础上给予多维驱动融合冰山理论的护理模式,共干预 1 个月。比较两组干预前后心理复原力[心理弹性量表(CD-RISC)]、希望水平[Herth希望水平测评量表(HHI)]、睡眠质量[匹茨堡睡眠质量指数(PSQI)]、应对方式[医学应对问卷(MC-MQ)]和自我效能[情绪调节自我效能感量表(SRESE)]。结果:干预前,两组CD-RISC评分、HHI评分、PSQI评分、MC-MQ评分和SRESE评分比较,差异无统计学意义,(P>0。05)。干预后,研究组CD-RISC评分、HHI评分、SRESE评分、MC-MQ的面对评分均高于对照组,MC-MQ的屈服和回避评分、PSQI评分低于对照组,差异有统计学意义(P<0。05)。结论:基于多维驱动融合冰山理论的护理模式可有效提高白血病化疗患者的心理复原力、希望水平和应对能力,提高患者自我效能和生活质量。
Effect of Multi-dimensional Drive Fusion Iceberg Theory Nursing Model on Leukemia Patients Undergoing Chemotherapy
Objective:To explore the effect of multi-dimensional drive fusion iceberg theory nursing model on leukemia patients undergoing chemotherapy.Method:A total of 98 leukemia patients who received chemotherapy in Zhenjiang First People's Hospital from January to May 2023 were selected as the study objects.According to the random number table method,they were divided into control group and study group,with 49 cases in each group.The control group was given routine nursing,and the study group was given multi-dimensional drive fusion iceberg theory nursing model on the basis of the control group,and the intervention lasted for 1 month.Psychological resilience[Connor-Davidson resilience scale(CD-RISC)],hope level[herth hope index(HHI)],sleep quality[Pittsburgh sleep quality index(PSQI)],coping style[medical copingmodes questionnaire(MC-MQ)]and self-efficacy[scale of regulatory emotional self-efficacy(SRESE)]before and after the intervention were compared between the two groups.Result:Before intervention,there were no statistically significant differences in the scores of CD-RISC,HHI,PSQI,MC-MQ,and SRESE between the two groups(P>0.05).After intervention,the CD-RISC score,HHI score,SRESE score,and MC-MQ face to face score of the study group were all higher than those of the control group,while the yield and avoidance scores of MC-MQ,PSQI score were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The multi-dimensional drive fusion iceberg theory nursing model can effectively improve the psychological resilience,hope level and coping ability of patients with leukemia chemotherapy,and improve patients'self-efficacy and quality of life.

Multi-dimensional drive fusion iceberg theory nursing modelLeukemiaChemotherapyPsychological resilience

汤文银

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镇江市第一人民医院 江苏 镇江 212000

多维驱动融合冰山理论 白血病 化疗 心理复原力

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(6)
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