基于关键点控制理论的集束化管理对再生障碍性贫血患者心理状态、自护能力生活质量及并发症发生率的影响

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摘要目的探讨基于关键点控制理论的集束化管理对再生障碍性贫血（AA）患者心理状态、自护能力生活质量及并发症发生率的影响。方法选取2018年2月至2021年2月四川大学华西医院血液内科收治的186例AA患者为研究对象，按照入院单双顺序分为对照组（n = 93）和观察组（n = 93），对照组给予常规护理干预，观察组在对照组基础上给予基于关键点控制理论的集束化管理干预，比较两组汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、自护能力（ESCA）评分、健康调查量表-36（SF-36）评分及并发症发生率。结果干预后两组HAMA、HAMD评分均较干预前降低，ESCA、SF-36评分较干预前升高，且观察组HAMA、HAMD评分低于对照组，ESCA、SF-36评分高于对照组，差异有统计学意义（P ＜ 0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P ＜ 0.05）。结论基于关键点控制理论的集束化管理可缓解AA患者不良情绪，提高自护能力和生活质量，减少并发症发生率。

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	王丹丹饶琦赵寅

关键词 ：再生障碍性贫血, 关键点控制理论, 集束化管理, 并发症发生率

Abstract：Objective To investigate the effect of bundle management based on key point control theory on psychological states, self-care ability, quality of life and the incidence of complications in patients with aplastic anemia（AA). Methods A total of 186 AA patients treated in the Department of Hematology, West China Hospital, Sichuan University from February 2018 to February 2021 were selected as the subjects. They were divided into control group （n = 93) and observation group （n = 93) according to the sirgle and double order. The control group was given routine nursing intervention, while the observation group was given bundle management intervention based on key point control theory on the basis of routine nursing intervention. Hamilton anxiety scale （HAMA), Hamilton depression scale （HAMD), self-care ability （ESCA) scores, short form health survey questionnaire-36 （SF-36) scores, the incidence of complications and patient satisfaction were compared between the two groups. Results HAMA and HAMD scores of the two groups after intervention were lower than before intervention, ESCA and SF-36 scores were higher than before intervention. HAMA and HAMD scores in observation group were lower than those in control group, ESCA and SF-36 scores were higher than those in control group, the differences were statistically significant (P ＜ 0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P ＜ 0.05). Conclusion Bundle management based on key point control theory can relieve unhealthy emotions, improve self-care ability and quality of life, and reduce the incidence of complications in patients with AA.

Key words： Aplastic anemia Key point control theory Bundle management Incidence of complication

引用本文:

王丹丹饶琦赵寅. 基于关键点控制理论的集束化管理对再生障碍性贫血患者心理状态、自护能力生活质量及并发症发生率的影响[J]. 中国医药导报, 2022, 19(4): 178-181.
WANG Dandan RAO Qi ZHAO Yin. Effect of bundle management based on key point control theory on psychological states, self-care ability, quality of life and the incidence of complications in patients with aplastic anemia#br#. 中国医药导报, 2022, 19(4): 178-181.

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