基于AIDET沟通模式的护理在急性白血病化疗护理中的应用效果

Effectiveness of AIDET-based communication model in the care of acute leukemia chemotherapy patients

目的分析基于问候-自我介绍-过程-解释-感谢(AIDET)沟通模式的护理在急性白血病患者护理中的应用效果。方法本研究选取2020年3月—2021年3月郑州市某医院收治的92例急性白血病化疗患者为研究对象,采用随机数字表法将患者分为AIDET组(n=46)和对照组(n=46)。对照组患者予以常规护理,AIDET组患者在对照组的基础上予以基于AIDET沟通模式的护理干预。采用焦虑自评量表(SAS)及抑郁自评量表(SDS)评估2组患者干预前及出院时焦虑、抑郁状态;采用舒适状况量表(GCQ)评估2组患者干预前及出院时舒适度;比较2组患者出院时并发症发生率。结果干预前,2组患者SAS及SDS评分比较,差异无统计学意义(P>0.05)。出院时,2组患者SAS及SDS评分均低于干预前,且AIDET组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者GCQ评分比较,差异无统计学意义(P>0.05)。出院时,2组患者GCQ评分均高于干预前,且AIDET组高于对照组,差异均有统计学意义(P<0.05)。AIDET组患者并发症发生率为4.35%,低于对照组的17.40%,差异有统计学意义(P<0.05)。结论对急性白血病化疗患者应用基于AIDET沟通模式的护理,可改善患者焦虑、抑郁情绪,提高患者的舒适度,并减少并发症的发生,效果显著,值得临床推广应用。

Objective To analyze the effectiveness of the Acknowledge,Introduce,Duration,Explanation,and Thank You(AIDET)communication model in the care of patients with acute leukemia.Methods Ninety-two patients admitted to a hospital in Zhengzhou from March 2020 to March 2021 for acute leukemia chemotherapy were selected for this study and divided into an AIDET group(n=46)and a control group(n=46)using the random number table method.Patients in the control group were given conventional care,and patients in the AIDET group were given nursing interventions based on the AIDET communication model on the basis of the control group.The anxiety and depression status of the patients in the two groups before the intervention and at the time of discharge were assessed using the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS);the comfort level of the patients in the two groups before the intervention and at the time of discharge was assessed using the general comfort questionnaire(GCQ);and the incidence of complications at the time of discharge was compared between the two groups.Results Before the intervention,there was no statistically significant difference between the SAS and SDS scores of the 2 groups(P>0.05).At discharge,the SAS and SDS scores of patients in the 2 groups were lower than before the intervention,and the AIDET group was lower than the control group,with statistically significant differences(P<0.05).Before the intervention,there was no statistically significant difference between the GCQ scores of patients in the 2 groups(P>0.05).At discharge,the GCQ scores of patients in both groups were higher than before the intervention,and the AIDET group was higher than the control group,with statistically significant differences(P<0.05).The complication rate of patients in the AIDET group was 4.35%,which was lower than 17.40%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of care based on the AIDET communication model for chemotherapy patients with acute leukemia can improve patients′anxiety and depression,increase their comfort and reduce the occurrence of complications,with significant effects,and is worthy of clinical promotion and application.