INFLUENCE OF A SPORTS MEDICINE TEAM-BASED NURSING MODEL ON SELF-CARE, MEDICATION COMPLIANCE, AND QUALITY OF LIFE OF ATHLETES WITH CHRONIC DISEASES

作者全名：Cai, Yan; Yi, Haiyan

作者地址：[Cai, Yan] Univ Town Hosp, Chongqing Med Univ, Dept Nephrot, Chongqing 401331, Peoples R China; [Cai, Yan] Univ Town Hosp, Chongqing Med Univ, Urol Ctr, Chongqing 401331, Peoples R China; [Yi, Haiyan] Chongqing Med Univ, Univ Town Hosp, Dept Nursing, Chongqing 401331, Peoples R China

通信作者：Yi, HY (通讯作者)，Chongqing Med Univ, Univ Town Hosp, Dept Nursing, Chongqing 401331, Peoples R China.

来源：REVISTA INTERNACIONAL DE MEDICINA Y CIENCIAS DE LA ACTIVIDAD FISICA Y DEL DEPORTE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001232019700005

JCR分区：Q4

影响因子：0.7

年份：2024

卷号：24

期号：95

开始页：438

结束页：451

文献类型：Article

关键词：Sports Medicine; Chronic Diseases in Athletes; Doctor-nurse-patient integrated nursing mode; chronic diseases; self-care behavior; medication compliance; quality of life; effect

摘要：Objective: This study aimed to evaluate the impact of a sports medicine team-based nursing model on self-care, medication compliance, and quality of life among athletes with chronic diseases. Methods: Between September 2021 and August 2022, 200 athletes with chronic conditions receiving treatment at our sports medicine facility were randomly assigned into a control group (N=100) and an observation group (N=100). The control group received routine care, while the observation group benefited from an integrated team-based approach involving doctors, nurses, and other healthcare specialists. We measured changes using the Exercise of Self-Care Agency Scale (ESCA), self-management ability scale, and the Health-related Quality of Life Scale (SF-36) before and after the intervention. Additionally, medication compliance and satisfaction with care were assessed. Results: Post-care, both groups showed significant improvements in self-health awareness, self-care skills, self-concept, and self-responsibility (P < 0.05), with the observation group demonstrating substantially greater enhancements (P < 0.001). Medication compliance in the observation group reached 94.00%, significantly surpassing the control group's 74.00% (P < 0.001). Furthermore, comprehensive scores for disease knowledge, symptom management, daily life management, and overall self-management improved significantly post-care (P < 0.05), with the observation group showing marked superiority (P < 0.001). Similarly, all SF-36 domains, including physical function, role physical, pain, mental health, social function, vitality, emotional function, and overall SF-36 scores, improved significantly, with the observation group outperforming the control (P < 0.001). The observation group's satisfaction rate was 97.00%, higher than the control's 90.00% (P < 0.05). Conclusion: The sports medicine team-based nursing model significantly enhances self-care, medication compliance, and quality of life for athletes with chronic diseases. This approach not only fosters better health outcomes but also strengthens the athlete-patient relationship, indicating its substantial potential for broader clinical application in sports medicine.

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