主题引导式干预对白血病化疗病人PICC置管后持续渗血防护效果和护理质量的影响
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摘要
[目的]分析主题引导式干预应用于PICC置管白血病化疗病人对其持续渗血防护效果和护理质量的影响。[方法]选取我院2015年4月—2016年3月接诊的58例行PICC置管的白血病化疗病人为对照组,实施传统护理;选我院在2016年4月—2017年3月接诊的60例行PICC置管的白血病化疗病人为研究组,在对照组传统护理基础上实施主题引导式干预。比较两组病人持续渗血发生例数、渗血严重程度,记录两组在干预后1个月末的护理专项质量。[结果]研究组持续渗血发生率低于对照组,渗血严重程度评分低于对照组,各项护理质量评分均高于对照组,差异有统计学意义(P<0.05)。[结论]对于PICC置管的白血病化疗病人,在传统护理的基础上引入主题引导式干预,能改善置管后持续渗血防护效果,且能提高护理质量。
Objective:To analyze the effect of subject-directed intervention on the efficacy of continuous blood seepage protection and quality of care in PICC patients undergoing leukemia chemotherapy.Methods:A total of 58 patients with leukemia chemotherapy who were PICC catheters in our hospital from April 2015 to March 2016 were named as the control group.Traditional nursing care was performed.In our hospital from April 2016 to March 2017,the 60 patients with leukemia chemotherapy who were PICC catheters were named as the study group.Subject-directed intervention was performed on the basis of traditional care in the control group.The number of cases of continuous bleeding and the severity of bleeding were compared between the two groups.The nursing special quality of the two groups at the end of one month after intervention.Results:The incidence of continuous bleeding in the study group was lower than that in the control group,and the severity of bleeding was lower than that in the control group.The scores of the quality of care were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions:For patients with leukemia chemotherapy who have PICC catheters,the introduction of subject-directed interventions can improve the protective effect of continuous bleeding after catheterization and improve the quality of care.
Objective:To analyze the effect of subject-directed intervention on the efficacy of continuous blood seepage protection and quality of care in PICC patients undergoing leukemia chemotherapy.Methods:A total of 58 patients with leukemia chemotherapy who were PICC catheters in our hospital from April 2015 to March 2016 were named as the control group.Traditional nursing care was performed.In our hospital from April 2016 to March 2017,the 60 patients with leukemia chemotherapy who were PICC catheters were named as the study group.Subject-directed intervention was performed on the basis of traditional care in the control group.The number of cases of continuous bleeding and the severity of bleeding were compared between the two groups.The nursing special quality of the two groups at the end of one month after intervention.Results:The incidence of continuous bleeding in the study group was lower than that in the control group,and the severity of bleeding was lower than that in the control group.The scores of the quality of care were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions:For patients with leukemia chemotherapy who have PICC catheters,the introduction of subject-directed interventions can improve the protective effect of continuous bleeding after catheterization and improve the quality of care.
引文
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[15]谭美仲,陈健清,简秀贤,等.主题引导式护理活动在白血病化疗患者PICC置管后持续渗血防护中的应用[J].国际护理学杂志,2017,8(17):2347-2349.
[16]谭文婷,赵启阁,武华,等.个体化护理干预对白血病患儿化疗期间舒适度及治疗依从性的影响[J].广西医科大学学报,2018(1):137-140.
[2]傅晓燕,谢晓恬,赵焱.长期无病生存急性淋巴细胞白血病儿童神经认知功能及影响因素的研究[J].中国当代儿科杂志,2017,19(8):899-903.
[3]陈迪迪,张妍,田英,等.儿童、父母的行为生活方式及室内环境暴露与儿童急性白血病发病的关系[J].中华预防医学杂志,2015(9):792-799.
[4]林晓霞,陈燕惠,陈珊,等.社会支持对学龄期白血病患儿及其家长的影响[J].中国儿童保健杂志,2016,24(12):1241-1244.
[5]张经纬,曾强,赵亮,等.孕期父母环境危险因素暴露与儿童急性淋巴细胞性白血病风险关系分析[J].中华流行病学杂志,2016,37(10):1413-1416.
[6]Kozek-Langenecker SA,Ahmed AB,Afshari A,et al.Management of severe perioperative bleeding:guidelines from the European society of anaesthesiology:first update 2016[J].Eur J Anaesthesiol,2017,30(6):332-395.
[7]沈佳艺,俞群,许莉莉.综合护理干预模式在预防小儿急性白血病PICC相关并发症中的作用[J].长春中医药大学学报,2017(6):986-988.
[8]魏婧,李丹.急性白血病化疗患者全程护理干预对胃肠道反应的影响[J].中国医刊,2017(9):102-105.
[9]赵江丽,李祎,刘群英,等.基于现代教育理念的健康教育对白血病患者自我护理行为的影响[J].国际护理学杂志,2017,36(16):2271-2274.
[10]吕玲.聚焦解决护理模式对白血病化疗患者不良心理状态及应对方式及癌因性疲乏的影响[J].医学临床研究,2017(5):1036-1038.
[11]杜微.PDCA护理管理在白血病患者PICC中的应用[J].齐鲁护理杂志,2017,23(16):118-120.
[12]王香红,王萍,李洪辛,等.护理干预在预防小儿白血病骨髓抑制期口腔感染中的应用[J].齐鲁护理杂志,2017,23(21):90-92.
[13]万继兰.延续性护理对白血病患者治疗依从性及生活质量的影响[J].齐鲁护理杂志,2018,24(3):74-76.
[14]金芳芳,徐风敏,张萍,等.饮食干预对白血病患者营养状况和血清白蛋白水平的影响[J].中华现代护理杂志,2018(6):656-659.
[15]谭美仲,陈健清,简秀贤,等.主题引导式护理活动在白血病化疗患者PICC置管后持续渗血防护中的应用[J].国际护理学杂志,2017,8(17):2347-2349.
[16]谭文婷,赵启阁,武华,等.个体化护理干预对白血病患儿化疗期间舒适度及治疗依从性的影响[J].广西医科大学学报,2018(1):137-140.