The Effect Of Multidisciplinary Cooperative Continuous Nursing On The Self-Efficacy And Quality Of Life In Allogeneic Hematopoietic Stem-Cell Transplantation Patients

Objective: To explore the effect of multidisciplinary cooperative continuous nursing on the self-efficacy and quality of life in allogeneic hematopoietic stem-cell transplantation patients. Methods: A prospective study was conducted in which 180 patients who had undergone allogeneic hematopoietic stem cell transplantation were randomly divided into an observation group (n=90) and a control group (n=90). The patients in the control group underwent routine nursing, and the patients in the observation group underwent multidisciplinary cooperative continuous nursing. The self-efficacy, quality of life, sleep quality, medication adherence, and psychological states of the patients were compared between the two groups at two weeks before discharge and at three months after discharge. Results: Compared with at two weeks before discharge, there were higher self-efficacy scores, including stress reduction, more positive attitudes and decision making, higher Karnofsky Performance Status Scale and Morisky Medication Adherence Scale scores, but lower Pittsburgh Sleep Quality Index and Profile of Mood States scores in both groups (all P<0.05), and the magnitude of the changes in the observation group were more pronounced. Conclusion: Multidisciplinary cooperative continuous nursing for patients receiving allogeneic hematopoietic stem-cell transplantation can significantly enhance their self-efficacy, improve their quality of life, alleviate their adverse emotions, and increase their medication adherence and sleep quality.