以多达理论构建的延续性护理模式对造血干细胞移植后患者生存质量及应对方式影响

Effects of a continued nursing model constructed based on Doda theory on the quality of life and coping styles of patients after hematopoietic stem cell transplantation

目的探讨以多达理论构建的延续性护理模式对造血干细胞移植后患者生存质量及应对方式影响。方法选择2022年1月至2023年12月在甘肃省武威肿瘤医院接受造血干细胞移植的患者90例,依据随机数表法分为对照组以及观察组,每组各45例。对照组的患者采取常规的护理,观察组的患者则采取以多达理论构建的延续性护理。两组患者的干预时长均为3个月。对两组患者在干预前后的生存质量、心境情况、应对方式情况、日常护理知识掌握情况进行比较。结果干预后,两组的生存质量评分、积极应对评分、日常护理知识掌握情况评分均出现增高,两组的心境情况评分、消极应对评分均出现降低,差异有统计学意义(P<0.05)。在干预后的比较中,观察组的生存质量评分、积极应对评分、日常护理知识掌握情况评分高于对照组,观察组的心境情况评分、消极应对评分低于对照组,差异有统计学意义(P<0.05)。结论多达理论主导的延续护理明显提升了造血干细胞移植术后患者的生活质量,促进了术后康复,并且提高了患者对护理知识的理解。

Objective To investigate the effects of a continued nursing model constructed based on Doda theory on the quality of life and coping styles of patients after hematopoietic stem cell transplantation.Methods A total of 90 patients underwent hematopoietic stem cell transplantation in Gansu Wuwei Tumor Hospital from January 2022 to December 2023 were selected,and were divided into the control group and the observation group using the random number table,with 45 patients in each group.Patients in the control group were treated with conventional nursing,while patients in the observation group were treated with a continued nursing constructed based on Doda theory.The length of intervention time for both groups was 3 months.The quality of life,mood state,coping styles,and daily nursing knowledge were compared between the two groups of patients before and after the intervention.Results Scores of the quality of life,positive coping style,and daily nursing knowledge acquisition increased in both groups,and scores of mood state and negative coping style appeared to decreas e in both groups after the intervention,with s tatistically significant differences(P<0.05).In the post-intervention comparison,scores of the quality of life,positive coping style,and dai ly nursi ng ac quisition were higher in the obse rvation group than those in the control gro up,and scores of mood state and negative coping style were lower in the observation group than those in the control group,with s tatistically significant differences(P<0.05).Conclusion A continued nurs ing model constructed based on Doda theory significantly improves the quality of life of patients after hematopoietic stem cell transplantation,facilitates postoperative recovery,and promotes patients’understanding of nursing knowledge.