摘要
目的 分析延续性护理对出院血液病患者自我管理能力及生活质量的影响。方法 回顾分析2024年1月-2025年12月院内80例出院血液病患者病历资料,其中2024年1月-2024年12月40例出院血液病患者为常规护理,作为对照组;2025年1月-2025年12月40例出院血液病患者为延续性护理,作为观察组。对比两组患者自我管理能力及生活质量。结果 (1)自我管理能力:观察组护理后自我照护能力量表(ESCA)评分高于对照组(P<0.05)。(2)生活质量:观察组护理后健康调查简表(SF-36)评分高于对照组(P<0.05)。结论 延续性护理对出院血液病患者自我管理能力及生活质量的影响较明显,能够提高自我管理能力,提高生活质量,值得采纳。
关键词: 延续性护理;血液病;自我管理能力;生活质量;ESCA评分
Abstract
Objective To analyze the impact of continuity of care on the self-management ability and quality of life of discharged patients with hematological diseases. Methods A retrospective analysis was conducted on the medical records of 80 discharged patients with hematological diseases from January 2024 to December 2025. Among them, 40 discharged patients with hematological diseases from January 2024 to December 2024 received routine nursing care as the control group; From January 2025 to December 2025, 40 discharged patients with hematological diseases received continuous care as the observation group. Compare the self-management ability and quality of life between two groups of patients. Results (1) Self management ability: The Exercise of Self-Care Agency Scale (ESCA) score of the observation group after nursing was higher than that of the control group (P<0.05). (2) Quality of life: The SF-36 score of the observation group's post nursing health survey was higher than that of the control group (P<0.05). Conclusion Continuity of care has a significant impact on the self-management ability and quality of life of discharged patients with hematological diseases. It can improve self-management ability and quality of life, and is worth adopting.
Key words: Continuity of care; Hematological disorders; Self-management ability; Quality of life; ESCA rating
参考文献 References
[1] 林媛媛,毕静,宋慧慧. 焦点解决模式用于血液病造血干细胞移植患者中对其焦虑抑郁情绪、自护能力及并发症的影响[J].心理月刊,2025,20(21):181-183.
[2] 周小娅. 延续性护理对异基因造血干细胞移植术后恶性血液病患者心理弹性和生活质量的影响[J].中国医学创新,2024,21(29):69-73.
[3] 虞婷,张黎晴,储霜. 理性情绪疗法联合正念冥想对恶性血液病病人焦虑情绪、主观幸福感的影响[J].循证护理,2024,10(12):2268-2271.
[4] 陈燕辉,叶海燕,滕清霞. 个性化皮肤护理方案在血液病患者失禁性皮炎中的效果观察[J].齐齐哈尔医学院学报,2023,44(21):2097-2101.
[5] 牛婷婷,谢娜. 品管圈管理联合舒适护理在血液病患者治疗中的应用及对生活质量的影响[J].贵州医药,2023, 47(06):988-989.
[6] 李海燕,庞文利,苏树娟. 恶性血液病行造血干细胞移植术后延续护理研究[J].中外医疗,2022,41(05):176-181.
[7] 周琴,周静,文琪,等. 延续性护理对恶性血液病进行异体造血干细胞移植术后患者心理弹性和生活质量的影响[J].当代护士(中旬刊),2022,29(12):99-101.
[8] 崔园园,张秋军,郑美洁等.基于远程医疗平台延续性护理对老年糖尿病患者自我管理能力的影响[J].妇幼护理, 2024(24): 5900-5902.