基于自我调节模式的疾病感知护理在急性淋巴细胞性白血病透析患者中的应用

Application of disease awareness nursing based on self-regulation model in dialysis patients with acute lymphoblastic leukemia

目的探讨基于自我调节模式(SRM)的疾病感知(IP)护理在急性淋巴细胞性白血病(ALL)透析患者中的应用效果。方法选取2018年4月—2019年11月河北北方学院附属第一医院血液科收治的99例ALL透析患者为研究对象,根据随机数字表法分为A组49例,采用常规护理;B组50例,采用基于SRM的IP护理。护理前、护理2个月,采用简明疾病感知问卷(BIPQ)评估两组IP能力、采用Herth希望量表(HHI)评估两组希望水平、采用心理弹性量表(CD-RISC)评估两组心理弹性;护理2个月,采用自制依从性量表评估两组治疗依从性。结果护理2个月,两组BIPQ评分、HHI评分、CD-RISC各维度评分均高于护理前,且B组BIPQ评分、HHI评分、CD-RISC各维度评分均高于A组,差异均有统计学意义(均P<0.05);两组治疗依从性高于护理前,且B组治疗依从性高于A组,差异有统计学意义(P<0.05)。结论ALL透析患者采用基于SRM的IP护理,有利于提高患者IP能力及希望水平,改善其心理弹性,提高患者护理后治疗依从性。

Objective To explore the application effect of self-regulation model(SRM)-based illness perceptionness(IP)nursing in patients with acute lymphocytic leukemia(ALL)and dialysis.Methods A total of 99 ALL dialysis patients treated in the Department of Hematology,the First Affiliated Hospital of Hebei North University from April 2018 to November 2019 were selected as subjects.According to the random number table,they were divided into group A 49 cases,routine care were adopt and group B 50 cases,IP nursing based on SRM care were adopted.Before nursing and two months after nursing,the brief illness perception questionnaire(BIPQ)was used to assess the IP abilities of both groups,the herth hope inventory(HHI)was used to evaluate the hope levels of both groups,the connor-davidson resilience scale(CD-RISC)was used to assess the psychological resilience of both groups;after two months of nursing,a self-made compliance scale was used to evaluate the treatment compliance of the two groups.Results After two months of nursing,BIPQ score,HHI score and CD-RISC score were higher in both groups than before,and the BIPQ score,HHI score and CD-RISC scores in all dimensions of group B were higher than those of group A,with statistical significant differences(all P<0.05);the scores of treatment compliance in both groups were higher than before,and the treatment compliance of group B was higher than that of group A,with a statistical significant difference(P<0.05).Conclusion SRM based IP nursing for ALL dialysis patients is beneficial to improve their IP ability and hope level,improve their psychological flexibility,and improve treatment compliance of them after nursing.