Pender健康促进模式在造血干细胞移植患者中的应用效果

The effects of Pender's health promotion model in patients undergoing hematopoietic stem cell transplantation

目的探讨Pender健康促进模式在造血干细胞移植患者护理干预中的应用效果。方法采用便利抽样法,选取2018年1月—2020年12月在宁波市第一医院血液科住院进行造血干细胞移植的92例患者为研究对象。采用随机数字表法将患者分为对照组和干预组,各46例。对照组患者采用常规护理,干预组患者在对照组基础上实施Pender健康促进模式。采用一般资料调查表、自我感受负担量表、成年人健康自我管理能力测评量表和癌症治疗功能评价系统-骨髓移植生命质量测评量表对患者进行调查,比较干预前后两组患者自我感受负担、自我管理能力、生活质量的差异。结果干预组患者身体负担、情感负担及自我感受负担总分均低于对照组,干预组患者核心管理能力、疾病相关知识掌握及自我监测得分均高于对照组,干预组患者生活质量各维度得分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论Pender健康促进模式应用于造血干细胞移植患者中,可降低患者自我感受负担,提高患者自我管理能力和生活质量,值得临床推广。

Objective To explore the effects of Pender's health promotion model in nursing interventions for patients undergoing hematopoietic stem cell transplantation.Methods Totally 92 patients who underwent hematopoietic stem cell transplantation at the Department of Hematology,Ningbo First Hospital from January 2018 to December 2020 were selected by convenient sampling,and divided into a control group and an intervention group according to the random number table,with 46 patients in each group.Patients in the control group received routine care,while patients in the intervention group were treated with Pender's health promotion model.The general information questionnaire,Self-Perceived Burden Scale(SPBS),Adult Health Self-management Ability Assessment Scale,and Functional Assessment of Cancer Therapy-Bone Marrow Transplantation Scale(FACT-BMT)were used to investigate the patients and compare the differences in self-perceived burden,self-management ability,and quality of life of the two groups of patients before and after the intervention.Results The total scores of physical burden,emotional burden,and self-perceived burden in the intervention group were lower than those in the control group;the scores of core management ability,disease-related knowledge,and self-monitoring in the intervention group were higher than those in the control group;the scores and total score of the quality of life in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The application of Pender's health promotion model in patients receiving hematopoietic stem cell transplantation can reduce the patient's self-perceived burden and improve their self-management ability and quality of life,which is worth promoting in clinical practice.