中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
23期
2767-2770,2771
,共5页
护理%骨髓增生异常综合征%生活质量%焦虑
護理%骨髓增生異常綜閤徵%生活質量%焦慮
호리%골수증생이상종합정%생활질량%초필
Nursing%Myelodysplastic syndromes%Quality of life%Anxiety
目的：探讨新型护理模式对骨髓增生异常综合征( MDS )患者的生活质量的影响。方法2011年2月—2013年4月对186例住院MDS患者采用提高护理人员和患者风险意识,实施责任制整体护理,实施路径式健康宣教和多种健康教育形式相结合,成立科室质控组和品管圈相结合,实现护理信息化的新型护理模式,应用癌症患者生命质量测定量表( EROTC QLQ-C30)和焦虑自评量表( SAS)分别进行入院当天和出院当天由专人负责进行相同问卷调查。结果入院时MDS患者总体生活质量得分为(48.87±25.64)分,低于国内常模的(51.16±24.61)分,差异有统计学意义( t=-2.08,P<0．05)；焦虑得分为(44.26±15.26)分,高于国内常模的(41.90±2.62)分,差异有统计学意义(t=2.01, P<0.05)。采取新型护理模式后,患者总健康质量为(52.64±15.25)分,经济困难为(58.94±25.51)分,比入院时提高,差异有统计学意义(t值分别为-2.28,-1.97；P<0.05)；焦虑情绪得分为(42.57±12．38)分,比入院时降低,差异有统计学意义(t=1.98,P<0.05)。结论采用新型护理模式能够改善MDS患者焦虑情绪,提高生活质量。
目的：探討新型護理模式對骨髓增生異常綜閤徵( MDS )患者的生活質量的影響。方法2011年2月—2013年4月對186例住院MDS患者採用提高護理人員和患者風險意識,實施責任製整體護理,實施路徑式健康宣教和多種健康教育形式相結閤,成立科室質控組和品管圈相結閤,實現護理信息化的新型護理模式,應用癌癥患者生命質量測定量錶( EROTC QLQ-C30)和焦慮自評量錶( SAS)分彆進行入院噹天和齣院噹天由專人負責進行相同問捲調查。結果入院時MDS患者總體生活質量得分為(48.87±25.64)分,低于國內常模的(51.16±24.61)分,差異有統計學意義( t=-2.08,P<0．05)；焦慮得分為(44.26±15.26)分,高于國內常模的(41.90±2.62)分,差異有統計學意義(t=2.01, P<0.05)。採取新型護理模式後,患者總健康質量為(52.64±15.25)分,經濟睏難為(58.94±25.51)分,比入院時提高,差異有統計學意義(t值分彆為-2.28,-1.97；P<0.05)；焦慮情緒得分為(42.57±12．38)分,比入院時降低,差異有統計學意義(t=1.98,P<0.05)。結論採用新型護理模式能夠改善MDS患者焦慮情緒,提高生活質量。
목적：탐토신형호리모식대골수증생이상종합정( MDS )환자적생활질량적영향。방법2011년2월—2013년4월대186례주원MDS환자채용제고호리인원화환자풍험의식,실시책임제정체호리,실시로경식건강선교화다충건강교육형식상결합,성립과실질공조화품관권상결합,실현호리신식화적신형호리모식,응용암증환자생명질량측정량표( EROTC QLQ-C30)화초필자평량표( SAS)분별진행입원당천화출원당천유전인부책진행상동문권조사。결과입원시MDS환자총체생활질량득분위(48.87±25.64)분,저우국내상모적(51.16±24.61)분,차이유통계학의의( t=-2.08,P<0．05)；초필득분위(44.26±15.26)분,고우국내상모적(41.90±2.62)분,차이유통계학의의(t=2.01, P<0.05)。채취신형호리모식후,환자총건강질량위(52.64±15.25)분,경제곤난위(58.94±25.51)분,비입원시제고,차이유통계학의의(t치분별위-2.28,-1.97；P<0.05)；초필정서득분위(42.57±12．38)분,비입원시강저,차이유통계학의의(t=1.98,P<0.05)。결론채용신형호리모식능구개선MDS환자초필정서,제고생활질량。
Objective To study the influences on the quality of life in patients with myelodisplastic syndromes ( MDS) by using the new model of nursing. Methods For 186 MDS patients, we enhanced their paramedics′risk awareness, implemented the responsibility system of holistic nursing care, combined the path-based health education and various ways of health education, combined the department′s quality control group and quality control cycle, and realized the new model of informationalized nursing. All hospitalized patients were evaluated by using the quality of life instruments for cancer patients ( EROTC QLQ-C30 ) and the Self-rating Anxiety Scale on the day of admitting and discharging. Results The overall new admitted patients with MDS suffered lower quality of life score (48. 87 ± 25. 64) than the national norm (51. 16 ± 24. 61) score (t =-2. 08,P<0. 05), but it got higher score of anxious score(44. 26 ± 15. 26) than the national norm (41. 90 ± 2. 62) score (t =2. 01,P <0. 05). By the utilization of new nursing model, the patients′ quality of life improved to (52. 64 ± 15. 25) score (t= -2. 08,P<0. 05), their economic difficulties improving to (58. 94 ± 25. 51) score. Compared with the new admitted time, their anxious (42. 57 ± 12. 38) score was alleviated (t=-1. 98,P<0. 05). Conclusions The new nursing model can improve quality of life and relieve anxiety in patients with MDS.
