格林模式健康教育对初治淋巴瘤化疗患者出院准备度的影响

Influence of Green model-based health education on hospital discharge readiness in newly treated lymphoma patients undergoing chemotherapy

目的探讨基于格林模式的健康教育对初治淋巴瘤化疗患者出院准备度的影响,旨在为此类患者出院指导质量的提升提供参考。方法便利选取2021年5—10月在天津医科大学肿瘤医院淋巴肿瘤科首次接受化疗的116例恶性淋巴瘤患者为研究对象,按入院当日单双日分为对照组59例和干预组57例,对照组按照淋巴瘤常规护理中的内容实施健康教育,干预组实施基于格林模式的健康教育,在第2个化疗周期结束后,对2组患者出院准备度、出院指导质量进行效果评价。结果干预前2组患者出院准备度、出院指导质量各维度得分比较差异无统计学意义(P>0.05)。干预后,干预组出院准备度的3个维度得分及总分分别为(24.65±4.29)、(43.47±3.49)、(35.58±5.73)、(103.70±9.10)分,高于对照组的(20.64±3.81)、(37.24±6.18)、(30.42±6.03)、(88.31±12.07)分,差异有统计学意义(t值为4.72~7.74,均P<0.01);干预组出院指导质量2个维度得分及总分分别为(48.05±8.87)、(109.26±18.73)、(157.32±23.84)分,高于对照组的(40.17±12.81)、(92.85±22.58)、(133.02±29.38)分,差异有统计学意义(t=3.84、4.25、4.88,均P<0.01)。结论基于格林模式的健康教育可以提高初治淋巴瘤化疗患者的出院准备度和出院指导质量。

Objective To explore the impact of Green model-based health education on the readiness for discharge of newly treated lymphoma patients undergoing chemotherapy,providing a reference for improving the quality of discharge guidance for such patients.Methods From May 2021 to October 2021,116 patients with newly treated malignant lymphoma who received chemotherapy in Department of Lymphoma,Tianjin Medical University Cancer Institute and Hospital were selected as the research subjects.According to the single or double date on the day of admission,they were divided into control group(59 cases)and intervention group(57 cases);the control group carried out health education according to the content of the lymphoma nursing routine,and the intervention group implemented Green model-based health education.After the second chemotherapy cycle,compared the differences in discharge readiness and the quality of discharge guidance between the two groups.Results Before the intervention,there was no significant difference in the scores of the two groups of patients′discharge readiness and the quality of discharge guidance(P>0.05).After the intervention,the three dimensions and total scores of hospital discharge readiness in the intervention group were(24.65±4.29),(43.47±3.49),(35.58±5.73),and(103.70±9.10)points,respectively,which were higher than those in the control group(20.64±3.81),(37.24±6.18),(30.42±6.03),and(88.31±12.07)points,and the differences were statistically significant(t values were 4.72-7.74,all P<0.01);the two dimensions and total scores of the quality of discharge guidence in the intervention group were(48.05±8.87),(109.26±18.73),and(157.32±23.84)points,respectively,which were higher than those in the control group(40.17±12.81),(92.85±22.58),and(133.02±29.38)points,the differences were statistically significant(t=3.84,4.25,4.88,all P<0.01).Conclusions Green model-based health education can improve the readiness for discharge and the quality of discharge guidance for newly treated lymphoma patients undergoing chemotherapy.