The application effect of personal and family self-management theory in patients with leukemia

1.4 Statistical Methods

Statistical software SPSS 18.0 was used to analyze the data. The statistical data were represented by percentage %, χ2 test was used, rank sum test was used for rank data, and mean ± standard deviation (±s) was used for measurement data. Independent sample t test was used for comparison between groups, and paired sample t test was used for comparison at different time points within groups. P<0.05 was considered to be statistically significant.

2 Results

2.1 Comparison of SF-36 scores before and after care between the two groups

There was no significant difference in SF-36 scores between the two groups before nursing (P > 0.05). The SF-36 score of the two groups after care was higher than before care (P<0.05), and the SF-36 score of the observation group after care was higher than that of the control group, with statistical significance (P<0.05) (Table 2).

Table 2 Comparison of SF-36 scores before and after care between the two groups (score, ±s)

Compared with this group before nursing, * P<0.05; Compared with the control group after nursing, #P<0.05

2.2 Comparison of SPB after care between the two groups

After nursing, SPB of observation group was better than control group (P<0.05). The mild SPB rate in the observation group was 84.3%, higher than that in the control group (64.7%), and the difference was statistically significant (P<0.05).

Table 3 Comparison of SPB between the two groups [n (%)]

2.3 Comparison of self-management behavior level between the two groups after nursing

After 3 months of nursing, the self-management behavior index level and SRESE total score of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05).

Table 4 Comparison of self-management behavior levels between the two groups after intervention (score, ±s)

3 Discussion

As a kind of malignant tumor, leukemia has a complicated condition with poor prognosis and is difficult to cure. Chemotherapy is the main treatment method for the disease at present. However, due to its long course of treatment, many toxic and side effects, and high treatment cost, patients generally suffer from economic, psychological, physiological and other aspects of pressure, and often suffer from anxiety, depression and other negative emotions. The sudden onset of the disease not only adversely affects the quality of life of patients, but also may lead to changes in their family status and relationship, and ultimately affect the treatment compliance of patients.

Routine nursing intervention only involves the basic guidance of the patient's disease knowledge, psychology, drug safety and other aspects, and the nursing purpose is poor, the patient is in a completely passive state for a long time, and the dependence is strong, which is not conducive to the continuous nursing after discharge. IFSMT was first proposed by Pyan in the United States in 2009, and is now widely used in prognostic care of various tumors in foreign countries, achieving ideal intervention effects, while there are few clinical nursing reports on this theory in China. IFSMT classifies patients' self-management behavior from the psychological level into three dimensions: context, process and outcome. Context refers to patients' individual information, including gender, education level, family situation and other information, all of which constitute patients' personal rehabilitation background. By establishing self-management teams, patients' personal information is analyzed and communicated. To find out the deep reasons for the weak nursing ability, and start the process from disease-related knowledge education, role transformation and psychological interview, which not only includes group cooperation, but also takes into account the contact between patients and their families. Under the encouragement and guidance of family members and nursing staff, gradually change the coping style and remove the psychological burden, which not only contributes to the closer doctor-patient relationship and kinship relationship. It can also effectively reduce patients' perceived burden. It is more conducive to the construction of hospital - community - family - individual pathway, so that patients can receive health education in an all-round way, improve their treatment initiative, and improve their self-management ability, which is conducive to early discharge.

The results of this study showed that after 3 months of nursing intervention, the self-management ability, emotional mediation ability, self-perceived burden and quality of life in the observation group were more significantly improved than those in the control group (P<0.05), suggesting that the implementation of IFSMQT nursing intervention on the basis of routine nursing was more conducive to the improvement of patients' understanding ability, acceptance ability and thinking ability. To improve health outcomes. Peng Min et al. [15] found that IFSMT targeted care for foot management of patients with type 2 diabetes could improve their self-care ability and prevent the occurrence of diabetic foot.