【摘要】 目的：观察医患共享决策护理在骨髓异常增生综合征（MDS）中的应用效果。方法：回顾性分析2023年1月至2024年1月该院收治的88例MDS患者的临床资料。按照护理方法不同将其分为研究组与对照组各44例。对照组采用常规护理，研究组采用医患共享决策护理。比较两组护理依从率，护理前后自我护理能力[自我护理能力实施量表（ESCA）]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分，以及护理满意度。结果：研究组护理依从率为95.45%(42/44)，高于对照组的79.55%(35/44)，差异有统计学意义（P<0.05）；护理后，两组健康知识水平、自我护理技能、自我概念、自我责任感等ESCA评分均高于护理前，且研究组高于对照组，差异有统计学意义（P<0.05）；护理后，两组躯体功能、心理功能、物质生活状态、社会功能等GQOLI-74评分均高于护理前，且研究组高于对照组，差异有统计学意义（P<0.05）；研究组护理满意度为97.73%(43/44)，高于对照组的81.82%(36/44)，差异有统计学意义（P<0.05）。结论：医患共享决策护理应用于MDS患者可提高护理依从率、自我护理能力评分、生命质量评分和护理满意度，效果优于常规护理。更多还原

【Abstract】 Objective:To observe application effects of doctor-patient shared decision-making nursing in myelodysplastic syndrome(MDS).Methods:The clinical data of 88 patients with MDS admitted to this hospital from January 2023 to January 2024 were retrospectively analyzed.According to different nursing methods,they were divided into study group and control group,44 cases in each group.The control group was given routine nursing,while the study group was given the doctor-patient shared decision making nursing.The nursing compliance rate,the self-care ability [exercise of self-care agency scale(ESCA)] score,the quality of life [general quality of life inventory-74(GQOLI-74)] score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:The nursing compliance rate of the study group was 95.45%(42/44),which was higher than 79.55%(35/44) of the control group,and the difference was statistically significant(P<0.05).After the nursing,the ESCA scores of health knowledge level,self-care skills,self-concept and self-responsibility in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the GQOLI-74 scores of physical function,psychological function,material life status and social function in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 97.73%(43/44),which was higher than 81.82%(36/44) of the control group,and the difference was statistically significant(P<0.05).Conclusions:The application of doctor-patient shared decision making nursing in the MDS patients can improve the nursing compliance rate,the self-care ability scores,the quality of life scores and the nursing satisfaction. Moreover,it is superior to the routine nursing.更多还原