[1]徐晓敏,谢 珺,张琳敏.基于健康信念的照护策略对白血病化疗患者自我管理能力的影响[J].西部中医药,2018,31(09):128-131.
　XU Xiaomin,XIE Jun,ZHANG Linmin.Effects of Nursing Strategy on Self-management Ability of Leukemia Patients Who Underwent Chemotherapy Based on Health Beliefs[J].Western Journal of Traditional Chinese Medicine,2018,31(09):128-131.
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基于健康信念的照护策略对白血病化疗患者自我管理能力的影响()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年09期
页码:
128-131
栏目:
出版日期:
2018-09-15

文章信息/Info

Title:
Effects of Nursing Strategy on Self-management Ability of Leukemia Patients Who Underwent Chemotherapy Based on Health Beliefs
文章编号:
1004-6852(2018)09-0128-04
作者:
徐晓敏，谢 珺，张琳敏
南京医科大学附属无锡市人民医院血液科，江苏 无锡 214023
Author(s):
XU Xiaomin, XIE Jun, ZHANG Linmin
Department of Hematology, Wuxi People′s Hospital Affiliated to Nanjing Medical University, Wuxi 214023, China
关键词:
白血病; 健康信念; 照护策略; 负性情绪; 自我管理
Keywords:
leukemia;  health beliefs;  nursing strategy;  negative emotion;  self-management
分类号:
R473
文献标志码:
B
摘要:
目的：探讨基于健康信念的照护策略对白血病化疗患者自我管理能力的影响。方法：将白血病患者88例按随机数字表法分为研究组和对照组各44例。对照组开展常规护理，研究组在对照组基础上引入健康信念的照护策略。2组患者在干预前及干预后第2周末依据自我护理能力量表(ESCA)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评价自我管理能力。结果：2组患者干预前自我管理能力比较差异无统计学意义(P＞0.05)；干预后研究组患者的自我护理能力、自护责任感、自我护理技能、自我概念及健康知识水平得分高于对照组，差异有统计学意义(P＜0.05)。2组患者干预前SAS和SDS评分比较差异无统计学意义(P＞0.05)；干预后研究组患者SAS和SDS评分低于对照组，差异有统计学意义(P＜0.05)。结论：引入基于健康信念的照护策略有助于提高白血病化疗患者自我管理能力，降低患者消极情感状况。
Abstract:
Objective: To discuss the effects of nursing strategy on self-management ability of leukemia patients who underwent chemotherapy based on health beliefs. Methods: All 88 patients were randomized into the study group and the control group according to random number table method, 44 cases each group. The control group accepted routine care, and the study group nursing strategy based on health beliefs on the foundation of the therapy the control group received. Self-management ability was assessed by SDS, SAS and ESCA before the intervention and by the end of the second week after the intervention. Results: The difference was insignificant in the comparisons of self-management ability between both groups before the intervention(P＞0.05); after the intervention, the study group was higher than the control group in the ability of self-nurse, self-nurse responsibility, self-concept and the scores of health knowledge level, and the difference had statistical meaning(P＜0.05). The difference showed no statistical meaning in the comparisons of SAS and SDS between both groups before the intervention (P＞0.05); after the intervention, the study group was lower than the control goup in SAS and SDS, and there was a significant difference(P＜0.05). Conclusion: Nursing strategy based on health beliefs is helpful to raise self-management ability of leukemia patients who underwent chemotherapy and decrease negative emotions of the patients.

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备注/Memo

备注/Memo:
收稿日期：2017-02-27 *基金项目：无锡市医院管理中心护理项目(编号YGZXH1313)。 作者简介：徐晓敏(1973—)，女，主管护师。研究方向：血液科疾病的护理。
更新日期/Last Update: 2018-09-15