目标执行理念健康教育对多发性骨髓瘤化疗患者疾病认知度、自护能力及心理状态的调节作用

Regulatory effect of health education of goal implementation concept on disease awareness,self-care ability and mental state in patients with multiple myeloma chemotherapy

目的:探讨目标执行理念健康教育对多发性骨髓瘤化疗患者疾病认知度、自护能力及心理状态的调节作用。方法:选取130例多发性骨髓瘤化疗患者为研究对象,根据护理方式不同分为观察组与对照组,每组各65例。对照组患者予以常规护理宣教;观察组患者在对照组基础上予以目标执行理念健康教育,干预时间均为两个月。比较两组患者知信行水平(多发性骨髓瘤调查问卷评分)、自护能力[自我护理能力量表(ESCA)]、心理状态[焦虑量表(SAS)评分、抑郁量表(SDS)评分、心理韧性量表(CD-RISC)评分]、疾病不确定感[疾病不确定感量表(MUIS-A)评分]及健康行为[健康促进生活方式量表(HPLP)评分]。结果:干预后,观察组患者多发性骨髓瘤调查问卷各维度评分及总分、ESCA各维度评分及总分、CD-RISC各维度评分及总评分、HPLP各维度评分及总评分均高于对照组(P<0.05);RPFS各维度评分及总评分、SAS及SDS评分、MUIS-A各维度评分及总评分均低于对照组(P<0.05)。结论:在常规护理宣教基础上予以目标执行理念健康教育可提升多发性骨髓瘤化疗患者知信行水平,提高自护能力,减轻癌因性疲乏,降低疾病不确定感,改善不良心理状态,增强心理韧性,促进患者健康行为形成。

Objective:To explore the regulatory effects of health education of goal implementation concept on disease awareness,self-care ability and mental state of patients with multiple myeloma chemotherapy.Methods:130 patients with multiple myeloma chemotherapy were selected and divided into observation group and control group according to different nursing methods,65 cases in each group.The control group was given routine nursing education,while the observation group was given routine nursing education+target implementation concept health education,continuous intervention for 2 months.The knowledge and practice level(multiple myeloma questionnaire score),self care ability(ESCA),mental state[SAS score,SDS score,resilience scale(CD-RISC)score],disease uncertainty(MUIS-A score),and health behavior(HPLP score)were compared between the two groups.Results:After intervention,the scores of all dimensions and total scores of multiple myeloma questionnaire,ESCA,CD-RISC and HPLP in the observation group were higher than those in the control group(P<0.05).The RPFS scores in all dimensions and total scores,SAS and SDS scores,MUIS-A scores in all dimensions and total scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Health education intervention of goal implementation concept can improve the knowledge and practice level of patients with multiple myeloma chemotherapy,improve self-care ability,reduce cancer fatigue,reduce disease uncertainty,improve adverse mental state,enhance mental toughness,and promote the formation of healthy behavior of patients.