多维自我效能促进性护理模式对多发性骨髓瘤化疗患者遵医行为的影响

The Effect of Multi-dimensional Self-efficacy Promoting Nursing Model on the Compliance Behavior of Patients with Multiple Myeloma Chemotherapy

目的:探究多维自我效能促进性护理模式对多发性骨髓瘤(MM)化疗患者遵医行为的影响。方法:选取2017年1月—2020年5月舞钢市人民医院收治的76例MM化疗患者作为研究对象,按不同的建档时间分成常规组和研究组,每组各38例。常规组接受常规护理干预,研究组于常规组基础上接受多维自我效能促进性护理模式干预。对比两组患者遵医行为、干预前、干预3个月知识掌握情况、干预前、干预1个月、3个月自我效能感量表(GSES)评分及并发症(高热、晕厥、口腔炎、上呼吸道感染等)发生率。结果:研究组遵医行为较常规组优,差异有统计学意义(u=2.782,P<0.05);干预3个月研究组病症表现、注意事项及饮食知识知晓评分较常规组高,差异有统计学意义(t=5.868、5.219、7.767,P<0.05);干预1个月、3个月研究组GSES评分较常规组高,差异有统计学意义(t=3.906、7.263,P<0.05);研究组并发症总发生率为2.63%(1/38),较常规组的23.68%(9/38)低,差异有统计学意义(χ^(2)=7.370,P<0.05)。结论:多维自我效能促进性护理模式应用于MM化疗患者中,可有效提高疾病知识知晓度及自我效能感,优化遵医行为,减少并发症发生率,值得临床推广。

Objective:To explore the effect of multidimensional self-efficacy-promoting nursing model on the compliance behavior of patients with multiple myeloma(MM)undergoing chemotherapy.Methods:A total of 76 MM chemotherapy patients admitted to the hospital from January 2017 to May 2020 were selected and divided into two groups according to the time of file establishment,with 38 cases in each group.The routine group received routine nursing intervention,and the study group received multi-dimensional self-efficacy-promoting nursing model intervention on the basis of the routine group.The medical compliance behavior,knowledge mastery before intervention,3 months of intervention,self-efficacy scale(GSES)score before intervention,1 month and3 months of intervention,incidence of complications(high fever,syncope,stomatitis,upper respiratory tract infections,etc.)were compared.Results:The medical compliance behavior of the study group was better than that of the routine group,and the difference was statistically significant(u=2.782,P<0.05).The scores of symptoms,precautions and dietary knowledge awareness in the research group after 3-month intervention were higher than those in the routine group,and the difference was statistically significant(t=5.868,5.219,7.767,P<0.05).The GSES score of the research group was higher than that of the routine group for 1 month and 3 months of intervention,and the difference was statistically significant(t=3.906,7.263,<0.05).The total incidence of complications in the study group was 2.63%(1/38),which was lower than 23.68%(9/38)in the routine group,and the difference was statistically significant(χ^(2)=7.370,P<0.05).Conclusion:The application of multi-dimensional self-efficacy-promoting nursing model to patients with MM chemotherapy can effectively improve the awareness of disease knowledge and self-efficacy,optimize medical compliance behavior,and reduce the occurrence of complications,which is worthy of clinical promotion.