全程护理干预模式对特发性血小板减少性紫癜患者效果和依从性影响.docVIP

全程护理干预模式对特发性血小板减少性紫癜患者效果和依从性影响 　　[摘要] 目的 探讨全程护理干预模式对特发性血小板减少性紫癜（ITP）患者的效果和依从性的影响。方法 方便选取该院2013年12月―2016年12月收治入院的60例 ITP 的患者进行分析讨论。随机分为两组，每组30例，在临床医生给予积极有效的治疗的前提下，对照组给予常规护理干预措施，观察组患者在常规护理基础上给予全程护理干预模式，对两组患者临床治疗依从率进行比较分析，并采用诺丁汉健康调查问卷（nottingham healthy profile，NHP）对两组患者生活质量进行评价。 结果 观察组治疗依从性96.0%，对照组治疗依从性为73.3%，两组对比差异有统计学意义（P0.05）；出院时，干预组患者在精力、情绪反应、睡眠、社会孤独感、身体活动能力等5个方面评分分别为（18.6±10.2）分、（23.3±8.4）分、（24.3±7.8）分、（21.1±12.7）分、（15.6±5.6）分均明显低于对照组（27.4±10.6）分、（29.5±16.3）分、（29.6±13.3）分、（27.2±8.8）分、（19.6±9.5）分，差异有统计学意义（P0.05）。 结论 ITP 患者采用全程护理干预模式能够提高患者治疗依从率及生活质量，对患者的康复中有著重要的作用和价值。 　　[关键词] 全程护理；特发性血小板减少性紫癜；效果；依从性 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0172-03 　　[Abstract] Objective To investigate the effect of nursing intervention mode on the efficacy and compliance of patients with idiopathic thrombocytopenic purpura （ITP）. Methods Convenient selection a total of 60 patients with ITP who were enrolled in our hospital from December 2013 to December 2016 were analyzed and discussed. Were randomly divided into two groups， each group of 30 cases， in the clinicians to give active and effective treatment under the premise of the control group to give routine care interventions， observation group of patients on the basis of routine care to give the whole nursing intervention model， the two groups of patients clinical Results The treatment adherence was 96.0% in the observation group and 73.3% in the control group， and the treatment group was treated with the Nottingham Health Questionnaire （NHP） ， and there were significant differences between the two groups（P 0.05）. At the time of discharge， the scores of the patients in the intervention group were such as energy， emotional response， sleep， social loneliness and physical activity（18.6±10.2）points、（23.3±8.4）points、（24.3±7.8）points、（21.1±12.7）points and （15.6 ± 5.6）points were significantly lower than those in the control group（27.4±10.6）points、（29.5±16.3）points、（29.6±13.3）points、（27.2±8.8）points and （19.6±9.5）points