Intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome

doi:10.3760/cma.j.issn.1007-1245.2024.04.033

Abstract

Abstract:

Objective　To investigate the intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome. Methods　A total of 97 patients with fever with thrombocytopenia syndrome admitted to Yantai Qishan Hospital from February 2016 to December 2020 were selected and were divided into an observation group (48 patients) and a control group (49 patients) with the random number table method. The control group included 30 males and 19 females, aged (48.12±6.04) years. The observation group included 30 males and 18 females, aged (48.52±6.35) years. The control group carried out cognitive and behavioral nursing, and the observation group carried out precise nursing model on the basis of the control group for 2 months. The cognitive levels of knowledge-attitude-practice, the scores of General Self-Efficacy Scale (GSES), and the qualities of life before and after nursing and the times of platelet transfusion during nursing were compared between the two groups. Independent sample t test, paired t test, and χ² test were used. Results　After nursing, the cognitive score of knowledge-attitude-practice, GSES score, and score of quality of life in the observation group were higher than those in the control group [(22.71±1.35) points vs. (21.15±1.21) points, (28.61±1.48) points vs. (22.60±2.64) points, (87.37±11.55) points vs. (75.09±10.85) points], with statistically significant differences (t=5.996, 13.791, and 5.398, all P<0.001). The times of platelet transfusion was (2.63±0.24) times in the observation group and (3.68±0.52) times in the control group, with a statistically significant difference (t=12.724, P<0.001). Conclusion　In patients with fever with thrombocytopenia syndrome, precision nursing model is beneficial to improve the cognitive level of knowledge-attitude-practice, improve the patients' self-efficacy, reduce the times of platelet infusion, and improve the patients' quality of life, which is worthy of clinical promotion and application.

Key words:

Fever, Thrombocytopenia syndrome, Precision nursing model, Self-efficacy, Quality of life

摘要：

目的　探讨精准护理模式对发热伴血小板减少综合征患者的干预效果。方法　选取烟台市奇山医院2016年2月至2020年12月收治的发热伴血小板减少综合征患者97例，按随机数字表法分为对照组49例和观察组48例。对照组男性30例、女性19例，年龄（48.12±6.04）岁；观察组男性30例、女性18例，年龄（48.52±6.35）岁。对照组实施认知与行为护理，观察组在对照组基础上进行精准护理模式，护理时间均为2个月。对比两组患者的护理前后知信行认知水平、一般自我效能感量表（GSES）评分、生活质量和护理期间血小板输注次数。采用独立样本t检验、配对t检验、χ²检验。结果　护理后，观察组的知信行认知评分、GSES评分、生活质量评分均高于对照组［（22.71±1.35）分比（21.15±1.21）分、（28.61±1.48）分比（22.60±2.64）分、（87.37±11.55）分比（75.09±10.85）分］，差异均有统计学意义（t=5.996、13.791、5.398，均P<0.001）。观察组护理期间血小板输注次数为（2.63±0.24）次，对照组为（3.68±0.52）次，差异有统计学意义（t=12.724，P<0.001）。结论　精准护理模式在发热伴血小板减少综合征患者中，有利于提高知信行认知水平，改善患者自我效能、降低血小板输注次数，还可提高生活质量，值得在临床进行推广与应用。

关键词:

发热, 血小板减少综合征, 精准护理模式, 自我效能, 生活质量

He Junning, Sun Xiuxiang, Wang Pengyan.

Intervention effect of precision nursing model on patients with fever with thrombocytopenia syndrome [J]. International Medicine and Health Guidance News, 2024, 30(4): 674-677.

贺军宁孙秀香王鹏雁.

精准护理模式对发热伴血小板减少综合征患者的干预效果 [J]. 国际医药卫生导报, 2024, 30(4): 674-677.

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