Patient Journey Mapping Enhances Nursing Care in Patients with Hematologic Diseases

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.