Application of nurse-led case management model in self-management of patients with very low platelets
护士主导的个案管理模式在血小板极低患者自我管理中的应用

摘要

目的 以护士主导的个案管理模式应用于血小板极低患者自我管理效果研究。方法 本次血小板极低患者自我管理研究，时间范畴选择我科2022年1月-2023年1月，研究对象为血小板极低患者76例，以系统随机分为个案管理组与管理对照组各38例，将两组血小板极低患者自我管理效果、患者满意度进行对比。结果 管理对照组自我管理效果良好以上人数为30人，占比为78.95%，个案管理组自我管理效果良好以上人数为36人，占比人数为94.74%，两组血小板极低患者自我管理效果数据差异性明显，P<0.05。个案管理组满意程度较高人数为32人，占比84.21%，相比较于管理对照组，满意程度较高人数24人，占比63.16%，两组血小板极低患者满意程度差异大，P<0.05。结论 血小板极低患者自我管理是极为重要的，常规血小板极低患者护理中虽然会通过健康教育告知其相关自我护理注意事项，但基于疾病特殊性，常出现不遵医嘱而导致不良事件发生的情况，因此采用护士主导的个案管理模式，可使患者在自我疾病管理方面有着更深层次参与感、在自我管理效果和情绪状态方面效果更佳。

Abstract

Objective To study the effect of self-management in patients with very low platelet using nurse-led case management model.
Methods This study on self-management of patients with extremely low platelets was conducted in our department from January 2022 to January 2023. 76 patients with extremely low platelets were systematically divided into the case management group and the management control group, with 38 cases in each group. The self-management effects and patient satisfaction of patients with extremely low platelets were compared between the two groups.
Results In the control group, 30 patients had good self-management effect, accounting for 78.95%; in the case management group, 36 patients had good self-management effect, accounting for 94.74%; there was a significant difference in the data of self-management effect between the two groups of patients with very low platelet content (P<0.05). There were 32 patients in the case management group with higher satisfaction, accounting for 84.21%; compared with the management control group, there were 24 patients with higher satisfaction, accounting for 63.16%; there was a significant difference in satisfaction between the two groups (P<0.05).
Conclusion   Self-management of patients with very low platelet is extremely important. Although the routine care of patients with very low platelet will inform them of relevant self-care precautions through health education, adverse events often occur due to the specificity of the disease, so nurse-led case management model is adopted. It can make patients have a deeper sense of involvement in self-disease management, and better results in self-management effectiveness and emotional state.