Objective To assess nursing care using Patient Journey Mapping (PJM) approach in patients with hematological diseases.

Methods This study enrolled 268 patients with hematological diseases admitted to a grade-A tertiary hematological specialty hospital in Tianjin from January to December 2023. Nursing care based on PJM was integrated into standard healthcare, involving interventions across five stages: encounter, diagnosis, treatment, recovery, and outpatient follow-up, with a period of four weeks. At the time of patients' first admission and as they prepare for readmission, we evaluated their nutritional status, psychological well-being including anxiety and depression, sleep quality, and self-management abilities using Nutritional Risk Screening (NRS) 2002, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Pittsburgh Sleep Quality Index (PSQI), and Self-Care Ability Scale (ESCA).

Results A total of 260 patients completed this study. There was a statistically significant difference in the NRS2002 scores pre and post intervention (P=0.008), with mean scores of (2.07±0.48) and (2.04±0.46), respectively. We observed statistically significant differences in psychological well-being, sleep quality and self-management abilities before and after intervention (P<0.001). Specifically, the HAMA scores were (8.30±4.43) and (7.78±3.67), the HAMD scores were (11.01±5.30) and (10.17±4.26), the PSQI scores were (8.47±2.47) and (6.97±2.05), the ESCA scores were (55.28±15.33) and (114.21±20.04), respectively.

Conclusion PJM can enhance the nutritional status, sleep quality and self-care abilities of patients, while also alleviating their negative emotions,thus effectively improving their overall healthcare experience.

Disclosures

No relevant conflicts of interest to declare.

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2024
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