基于个人与家庭自我管理理论在白血病患者中的应用效果

Application effect of self-management theory based on individual and family in leukemia patients

目的探讨基于个人与家庭自我管理理论在白血病患者中的应用效果。方法选取2015年1月~2018年12月于我院接受治疗的102例白血病患者为研究对象,按照随机数字表法分为观察组和对照组,每组各51例。患者均实施化疗,对照组在其基础上予以常规护理,观察组在对照组基础上实施基于个人与家庭自我管理理论干预。比较两组护理前及护理3个月后生活质量量表(SF-36)及自我感受负担量表(SPBS)变化情况,并记录护理后的自我管理效果[自我管理行为量表、情绪调节自我效能感量表(SRESE)]。结果两组护理前的生活质量评分比较,差异无统计学意义(P>0.05);两组护理后的生活质量评分高于护理前(P<0.05),且观察组护理后的生活质量评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组SPB轻度率为84.3%,高于对照组的64.7%(P<0.05);护理3个月后,观察组的自我管理行为各指标水平及SRESE总分高于对照组,差异均有统计学意义(P<0.05)。结论IFSMT可明显提高白血病患者自我护理能力,提升管理效果,且能显著改善其生活质量。

Objective To explore the application effect of self-management theory based on individual and family in leukemia patients.Methods A total of 102 leukemia patients who were treated in our hospital from January 2015 to December 2018 were selected as study subjects,and divided into the observation group and the control group according to random number table method,51 cases in each group.All patients were treated with chemotherapy.The control group was given routine nursing on the basis of chemotherapy.The observation group was given intervention based on personal and family self-management theory on the basis of the control group.The quality of life scale(SF-36)and self-perceived burden scale(SPBS)of the two groups were compared before and after 3 months of nursing,and the self-management effect(self-management behavior scale,emotion regulation self-efficacy scale[SRESE])of the intervention was recorded.Results There was no significant difference between the two groups in the quality of life score before nursing(P>0.05);the quality of life scores after nursing in the two groups were higher than those before nursing(P<0.05),and the quality of life scores after nursing in the observation group were higher than those in the control group the differences were statistically significant(P<0.05).After nursing,the mild rate of SPB in the observation group was 84.3%,higher than that in the control group for 64.7%(P<0.05);after 3 months of nursing,the level of each index of self-management behavior and the total score of scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Self-management theory based on individual and family can obviously improve the self-care ability,management effect and life quality of leukemia patients.