行动研究护理干预对白血病化疗患者自我感受负担及自我管理行为的影响

Effect of Action Research Nursing Intervention on Self-perceived Burden and Self-management Behavior of Leukemia Patients Undergoing Chemotherapy

目的 分析白血病化疗患者护理需求,评价行动研究护理干预对患者自我感受负担、自我管理行为等方面的影响。方法 选择我院2018年10月至2019年8月诊治的84例白血病化疗患者,以随机数字表法分为对照组(n=42)、观察组(n=42)。对照组白血病化疗患者采取常规护理,观察组白血病化疗患者配合行动研究护理干预,比较两组患者自我感受负担、自我管理行为评分改善状况,经自我感受负担量表SPBS以及自我管理行为量表评价。结果 干预前,观察组及对照组的自我管理行为各项评分与自我感受负担各项评分比较,差异均无统计学意义,P均> 0.05。干预后,观察组的伙伴关系[(15.30±2.80)分vs.(12.83±2.60)分]、执行自我护理[(25.95±3.80)分vs.(20.50±3.50)分]、情绪处理[(15.60±2.30)分vs.(12.80±2.20)分]、问题解决[(15.95±2.80)分vs.(12.88±2.65)分]、自我管理行为总分[(73.05±6.05)分vs.(56.60±5.80)分]均明显高于对照组,躯体负担[(8.05±1.05)分vs.(11.90±1.20)分]、经济负担[(6.40±0.90)分vs.(10.30±2.20)分]、情感负担[(10.05±2.60)分vs.(13.15±2.65)分]、自我感受负担总分[(28.45±3.03)分vs.(35.20±3.20)分]均明显低于对照组,P均<0.05。结论 行动研究护理干预能够满足白血病化疗患者护理需求,可以减轻患者化疗期间的自我感受负担、提高自我管理行为。

Objective To analyze the nursing needs of leukemia patients undergoing chemotherapy, and to evaluate the impact of action research nursing intervention on patients’ self-perceived burden and self-management behavior. Methods A total of 84 leukemia chemotherapy patients diagnosed and treated in our hospital from October 2018 to August 2019 were selected and divided into a control group(n=42) and an observation group(n=42) by a random number table. The leukemia chemotherapy patients in the control group took conventional nursing care, and the leukemia chemotherapy patients in the observation group cooperated with action research nursing intervention. The improvement of the self-perceived burden and self-management behavior scores of the two groups were compared. The self-perceived burden scale SPBS and the self-management behavior scale were evaluated. Results Before the intervention, there was no significant difference in the scores of self-management behavior and the scores of self-perceived burden between the observation group and the control group, P>0.05. After the intervention, the scores of partnership [(15.30±2.80) vs.(12.83±2.60)], self-care [(25.95±3.80) vs.(20.50±3.50)], emotion processing [(15.60±2.30) vs.(12.80±2.20)], problem solving [(15.95±2.80) vs.(12.88±2.65)] and total self-management behavior [(73.05±6.05) vs.(56.60±5.80)] in the observation group were significantly higher than those in the control group, The scores of physical burden [(8.05±1.05) vs.(11.90±1.20)], economic burden [(6.40±0.90) vs.(10.30±2.20)], emotional burden [(10.05±2.60) vs.(13.15±2.65)] and total self feeling burden [(28.45±3.03) vs.(35.20±3.20)] were significantly lower than those in the control group(P<0.05). Conclusion Action research nursing intervention meets the nursing needs of leukemia patients undergoing chemotherapy, and can reduce the burden of self-feeling and improve self-management behavior during chemotherapy.