摘要
目的 探讨健康信念模式干预联合心理引导在多发性骨髓瘤(MM)血液透析患者中的应用效果。方法 根据干预方式的不同将96例MM血液透析患者分为对照组(n=47,常规干预联合心理引导)和观察组(n=49,健康信念模式干预联合心理引导)。比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我护理能力[自我护理能力测定量表(ESCA)]、并发症发生情况及满意度。结果 干预后,两组患者SDS、SAS评分均低于本组干预前,ESCA评分均高于本组干预前,观察组患者SDS、SAS评分均低于对照组,ESCA评分高于对照组,差异均有统计学意义(P<0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P<0.05)。结论 健康信念模式干预联合心理引导可改善MM血液透析患者的心理状态,提高自我护理能力和满意度,降低并发症发生率。
Objective To explore the application effect of health belief model intervention combined with psychologi-cal guidance in hemodialysis patients with multiple myeloma(MM).Method According to different intervention meth-ods,96 hemodialysis patients with MM were divided into control group(n=47,conventional intervention combined with psychological guidance)and observation group(n=49,health belief model intervention combined with psychological guidance).The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],self-care ability[exercise of self-care agency(ESCA)],complications and satisfaction were compared between the two groups.Result After intervention,the SDS and SAS scores in both groups were lower than those before intervention,the ESCA scores were higher than those before intervention,and the SDS and SAS scores in observation group were lower than those in control group,the ESCA score was higher than that in control group,and the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in control group,and the total satis-faction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Health belief model intervention combined with psychological guidance can improve the psychological status of hemodi-alysis patients with MM,improve self-care ability and satisfaction,and reduce the incidence of complications.
作者
韩瑞
周芮伊
李芷芬
HAN Rui;ZHOU Ruiyi;LI Zhifen(Department of Nephrology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第23期2642-2645,共4页
Oncology Progress
关键词
多发性骨髓瘤
血液透析
健康信念模式干预
心理引导
心理状态
自我护理能力
multiple myeloma
hemodialysis
health belief model intervention
psychological guidance
psychologi-cal status
self-care ability
