Effect of H2H management model on self-efficacy and mood state of leukemia patients

doi:10.3760/cma.j.issn.1007-1245.2021.06.008

International Medicine and Health Guidance News ›› 2021, Vol. 27 ›› Issue (6): 818-821.DOI: 10.3760/cma.j.issn.1007-1245.2021.06.008

• Scientific Research • Previous Articles Next Articles

Effect of H2H management model on self-efficacy and mood state of leukemia patients

Gong Qinying¹, Chen Shuyan², Zhang Zhenli³, Gong Shengzhu¹

¹Department of Hematology, Zhanjiang Central People's Hospital, Zhanjiang 524033, China;
²Otolaryngology Head and Neck Surgery Area Center, Zhanjiang Central People's Hospital, Zhanjiang 524033, China;
³No.2 General Surgery, Zhanjiang Central People's Hospital, Zhanjiang 524033, China

Received:2020-08-18 Online:2021-03-15 Published:2021-04-15
Contact: Gong Qinying, Email: 1404711579@qq.com
Supported by:
Non Subsidised Science and Technology Project of Zhanjiang City (2019B01127)

H2H管理模式对白血病患者自我效能和心境状态的影响

龚琴英¹, 陈舒燕², 张贞丽³, 龚声珠¹

¹湛江中心人民医院血液科 524033;
²湛江中心人民医院耳鼻喉头颈外科片区中心 524033;
³湛江中心人民医院普外二科 524033

通讯作者: 龚琴英,Email:1404711579@qq.com
基金资助:
湛江市非资助科技攻关计划项目(2019B01127)

Abstract

Abstract: Objective To explore the application value of H2H management model in improving self-efficacy and mood state of leukemia patients. Methods A total of 68 patients with leukemia admitted to our hospital from June 1, 2019 to April 30, 2020 were divided into observation group and control group with the random number table method with 34 cases in each group. The control group was given routine nursing management, oral education for patients, such as drug guidance, regular review, nutrition, hygiene, complications protection and so on. The observation group was given H2H management on the basis of routine nursing. Before and after 4 weeks of intervention, the self-efficacy and mood state of the two groups were evaluated by GSES and POMS-SF respectively, the differences were compared and analyzed. Results There were no statistically significant differences in self-efficacy and mood state scores between the two groups before intervention (all P>0.05). After 4 weeks of intervention, the self-efficacy score of the observation group was (32.41±3.58), significantly higher than that of the control group [(23.47±3.10)]; the total score and scores of six dimensions of mood state in the observation group were significantly lower than those in the control group, the total score of mood state in the observation group was (65.00±5.34), significantly lower than that of the control group [(98.24±6.70)], with statistically significant differences between the two groups (all P<0.05). Conclusion The implementation of H2H management model can effectively improve the self-efficacy and mood state of leukemia patients.

Key words: H2H management model, Leukemia, Self-efficacy, Mood state

摘要： 目的探讨H2H管理模式对提高白血病患者自我效能和改善心境状态的应用价值。方法采用随机数字表,将2019年6月1日至 2020年4月30日期间收住于本院的白血病患者68例,分为观察组和对照组各34例,对照组实施常规护理管理,给予患者口头宣教,如指导用药、定期复查、营养饮食、清洁卫生、并发症防护等内容;观察组在常规护理基础上实施H2H管理。干预前和干预4 w后分别采用自我效能感量表(GSES)和简式简明心境问卷(POMS-SF)对两组患者的自我效能和心境状态进行测评,比较差异性并分析。结果干预前两组患者的自我效能和心境状态评分比较差异均无统计学意义(均P>0.05);干预4 w后观察组患者的自我效能评分为(32.41±3.58)分,明显高于对照组的(23.47±3.10)分;观察组患者的心境状态的6个维度得分及总分均比对照组明显降低,观察组患者的心境总分为(65.00±5.34)分,明显低于对照组的(98.24±6.70)分,两组比较差异均有统计学意义(均P<0.05)。结论实施H2H管理模式可有效地提高白血病患者的自我效能和改善心境状态。

关键词: H2H管理模式, 白血病, 自我效能, 心境状态

Gong Qinying, Chen Shuyan, Zhang Zhenli, Gong Shengzhu. Effect of H2H management model on self-efficacy and mood state of leukemia patients[J]. International Medicine and Health Guidance News, 2021, 27(6): 818-821.

龚琴英, 陈舒燕, 张贞丽, 龚声珠. H2H管理模式对白血病患者自我效能和心境状态的影响[J]. 国际医药卫生导报, 2021, 27(6): 818-821.

References

[1] 国家卫生和计划生育委员会. 2018中国卫生和计划生育统计年鉴[M]. 北京: 中国协和医科大学出版社, 2018: 38-40.
[2] 陈静, 王艾红. 白血病患者心理弹性的研究进展[J]. 天津护理, 2020, 28(2): 238-241. DOI: 10.3969/j.issn.1006-9143. 2020.02.039.
[3] 王小英, 尹仙玉, 邢玉平. 针对性健康教育对白血病化疗患者心理状态及自我效能的影响[J]. 辽宁医学杂志, 2019, 33(1): 99-101.
[4] 张婷, 章新琼, 葛健, 等. 始成年期急性白血病患者化疗期症状群及其严重程度与生活质量的相关性[J]. 广西医学, 2020, 42(5): 537-542. DOI: 10.11675/j.issn.0253-4304. 2020.05.04.
[5] 章美华. 人性化个性化护理干预在白血病息者缓解期巩固化疗依从性中的应用[J]. 国际护理学杂志, 2017, 36(11): 1483-1485. DOI: 10.3760/cma.j.issn.1673-4351. 2017. 11.013.
[6] 黄华, 李正莲, 魏艳芳, 等. H2H管理模式在慢性乙型重型肝炎患者照护中的应用[J]. 护理学杂志, 2018, 33(22):29-32. DOI: 10.3870/j.issn.1001-4152.2018.22.029.
[7] 李霞, 林丽红, 方英. H2H管理模式在HBV相关肝硬化患者中的应用[J]. 全科医学临床与教育, 2019, 17(11): 1052-1054. DOI: 10.13558/j.cnki.issn1672-3686.2019. 011.030.
[8] 中华医学会血液学分会白血病淋巴瘤学组. 成人急性髓系白血病(非急性早幼粒细胞白血病)中国诊疗指南(2017年版)[J]. 中华血液学杂志, 2017, 38(3): 177-182. DOI: 10.3760/cma.j.issn.0253-2727.2017.03.001.
[9] 陈瑆, 董婷婷. 宫颈癌患者照顾者自我效能、生活质量与疾病家庭负担的相关性分析[J]. 国际护理学杂志, 2019, 38(16): 2536-2539. DOI: 10.3760/cma.j.issn.1673-4351. 2019.16.013.
[10] 张倩, 梁观妹, 肖晓玲. 治疗性沟通对慢性病患儿家长的不良情绪和应对能力的影响[J]. 卫生职业教育, 2019, 37(24): 149-151.
[11] 吴雪婷, 王丽, 张露, 等. "H2H"营养管理模式对鼻咽癌放疗患者临床结局的影响[J]. 贵州医药, 2019, 43(1): 139-141. DOI: 10.3969/j.issn.1000-744X.2019.01.051.
[12] 孙继伟. H2H院内营养指导下催乳术联合婴儿早吸吮对初产后乳汁分泌时间及母乳喂养情况的影响[J]. 中国医学创新, 2020, 17(14): 110-113. DOI: 10.3969/j.issn.1674- 4985.2020.14.027.
[13] 陈静文, 徐林霞, 邓波. 结直肠癌患者出院准备度的研究进展[J].现代临床护理, 2020, 19(2): 71-77. DOI: 10.3969/j.issn.1671-8283.2020.02.014.
[14] 高小莲, 胡慧. 内科护理学[M]. 武汉: 武汉大学出版社, 2013, 6: 419.
[15] 耿燕. 认知护理干预在白血病患者中的应用[J]. 护理实践与研究, 2018, 15(5): 85-86. DOI: 10.3969/j.issn.1672-9676.2018.05.036.
[16] 李云, 刘晓辉. 移动健康智能手机程序在白血病患者院外健康管理中的应用[J]. 中华现代护理杂志, 2019, 25(33): 4369-4374. DOI: 10.3760/cma.j.issn.1674-2907.2019. 33.025.
[17] Bray F, Ferlay J, Soerjomataram I, et a1. G10bal cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. DOI: 10.3322/caac.21492.
[18] 曹蕾, 杜锋蔚, 郑亚华, 等. 成人白血病患者症状水平及影响因素的调查研究[J]. 现代实用医学, 2016, 28(5): 629-631. DOI: 10.3969/j.issn.1671-0800.2016.05.034.
[19] 徐建锋, 姜美萍. H2H规范化营养支持小组管理模式对胃肠道肿瘤患者营养状况的影响[J]. 全科医学临床与教育, 2018, 16(5): 565-567. DOI: 10.13558/j.cnki.issn1672-3686.2018.05.026.

Effect of H2H management model on self-efficacy and mood state of leukemia patients

H2H管理模式对白血病患者自我效能和心境状态的影响

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