摘要
目的回顾性分析基于目标管理理论的针对性护理干预对血小板减少患儿不良情绪及自我效能的影响。方法选取101例血小板减少患儿,依照入院时间的先后分为对照组(51例)和观察组(50例)。对照组采用常规护理干预,观察组在上述基础上采用基于目标管理理论的针对性护理干预。比较两组的并发症发生率,以及自我效能感[一般自我效能感量表(general self-efficacy scale,GSES)]、用药依从性[莫里斯基用药依从性问卷(Morisky medication adherence scale,MMAS-8)]、不良情绪[儿童焦虑性情绪筛查量表(screen for child anxiety related emotional disorders,SCARED)、儿童抑郁自评量表(depression self-rating scale for children,DSRSC)]、家属护理满意度[纽卡斯尔护理服务满意度量表(Newcastle satisfaction with nursing scales,NSNS)]。结果与对照组比较,干预后观察组并发症发生率较低,家属护理满意度较高(均P<0.05)。与对照组比较,干预后观察组GSES、MMAS-8分值较高,而SCARED、DSRSC分值较低(均P<0.01)。结论基于目标管理理论的针对性护理干预能减少血小板减少患儿的不良情绪,降低并发症发生率,增强其自我效能感,提升用药依从性,提高家属护理满意度。
Objective To retrospectively analyze the impact of targeted nursing intervention based on goal management theory on negative emotions and self-efficacy of children with thrombocytopenia.Methods A total of 101 children with thrombocytopenia were selected,and divided into control group(51 cases)and observation group(50 cases)by admission sequence.The control group received routine nursing intervention,and on this basis,the observation group additionally adopted targeted nursing intervention based on goal management theory.The incidence of complications,self-efficacy[general self-efficacy scale(GSES)],medication adherence[Morisky medication adherence scale(MMAS-8)],negative emotions[screen for child anxiety related emotional disorders(SCARED)and depression self-rating scale for children(DSRSC)],and family satisfaction with care[Newcastle satisfaction with nursing scales(NSNS)]were compared between the two groups.Results Compared with the control group,the incidence of complications in the observation group after intervention was lower,while family satisfaction with care was higher(both P<0.05).Compared with the control group,the observation group had higher scores of GSES and MMAS-8 after intervention,while the scores of SCARED and DSRSC in the observation group were lower after intervention(all P<0.01).Conclusion Targeted nursing intervention based on goal management theory could reduce negative emotions and the incidence of complications in children with thrombocytopenia,enhance their self-efficacy,improve medication adherence,and increase family satisfaction with care.
作者
岳景丽
陈庆云
连莉萍
YUE Jingli;CHEN Qingyun;LIAN Liping(Department of Hematology,Kaifeng Children's Hospital,Kaifeng Henan 475000,China)
出处
《实用心电与临床诊疗》
2025年第1期115-119,共5页
PRACTICAL ELECTROCARDIOLOGY AND CLINICAL TREATMENT
基金
河南省医学科技攻关联合共建项目(LHGJ20207331)。
关键词
血小板减少
目标管理理论
针对性护理
自我效能
thrombocytopenia
goal management theory
targeted nursing care
self-efficacy
