一站式护理服务模式在中枢神经系统特发性炎性脱髓鞘病患者中的应用效果

Eff ect analysis of the one-stop nursing service model in patients with central nervous system-idiopathic infl ammatory demyelinating diseases

目的 探究入院-出院-随访一站式护理服务模式在中枢神经系统特发性炎性脱髓鞘病(central nervous system-idiopathic infl ammatory demyelinating diseases,CNS-IIDDs)患者中的应用效果。方法 选择2021年1月—2022年6月收治的60例CNS-IIDDs患者作为研究对象,按照组间基线资料均衡可比的原则分为对照组和观察组,各30例。对照组使用常规护理服务模式;观察组在对照组基础上实施入院-出院-随访一站式护理服务模式。采用疾病不确定感成人量表(Mishel Uncertainty in Illness Scale,MUIS-A)和疾病不确定感社区量表(Mishel Uncertainty in Illness Scale Community Form,MUIS-CF)评价两组患者疾病不确定感,采用Morisky服药依从性量表(Morisky Medication Adherence Scale,MMAS-8)评价患者的用药依从性,采用焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS)评价患者的心理状态,采用简明健康调查量表(the Mos Item Short From Health Survey,SF-36)和满意度评价量表分别评价患者的生存质量及护理满意度。结果 干预后,观察组患者MUIS-A、MUIS-CF、SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者依从性高于对照组,生存质量各项维度评分和护理满意度总分均高于对照组,差异均有统计学意义(P<0.05)。结论 入院-出院-随访一站式护理服务模式可以降低CNS-IIDDs患者疾病不确定感,提升其用药依从性,有利于改善患者的心理状态和生存质量,有效提升患者护理满意度。

Objective To explore the application effect of the admission-discharge-follow-up one-stop nursing service model in patients with central nervous system-idiopathic inflammatory demyelinating diseases(CNS-IIDDs).Methods A total of 60 patients with CNS-IIDDs admitted from January 2021 to June 2022 were selected as research subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into a control group and an observation group,with 30 cases in each group.The control group used the conventional nursing service model;the observation group implemented the admission-discharge-follow-up one-stop nursing service model based on the control group.We used Mishel uncertainty in illness scale-adult(MUIS-A)and Mishel uncertainty in illness scale-community form(MUIS-CF)to evaluate the disease uncertainty of the two groups of patients,Morisky medication adherence scale(MMAS-8)to evaluate the patients'medication compliance,and self-rating anxiety scale(SAS)and self-rating depression scale(SDS)to evaluate the patients'psychological state and used the Mos item short from health survey(SF-36)and satisfaction evaluation scale to evaluate patients'quality of life and nursing satisfaction respectively.Results After intervention,the MUIS-A,MUIS-CF,SAS and SDS scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the compliance in the observation group was higher than that in the control group,each dimension scores of life quality and total score of nursing satisfaction were higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The one-stop nursing service model of admission-discharge-follow-up can reduce patients with CNS-IIDDs'disease uncertainty,improve their medication compliance,help improve patients'psychological state and quality of life,and effectively improve patient nursing satisfaction.