护理措施分类在急性淋巴细胞性白血病护理中的应用分析
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摘要
目的探讨护理措施分类在急性淋巴细胞性白血病护理中的应用方法与效果。方法 2014年2月-2016年12月选择在我院诊治的急性淋巴细胞性白血病患儿70例作为研究对象,根据入院先后顺序为观察组与对照组,各35例。2组都给予常规化疗,化疗周期都为3个月;对照组在化疗期间给予常规护理,观察组在对照组护理的基础上给予基于措施分类的护理方案。结果治疗后观察组与对照组的总有效率分别为80.0%和51.4%,观察组的总有效率明显高于对照组(P <0.05)。治疗后观察组与对照组的抑郁与焦虑评分都明显低于治疗前(P <0.05),同时治疗后观察组的抑郁与焦虑评分都明显低于对照组(P <0.05)。治疗后,2组患儿的生活质量均显著改善,其中观察组的改善程度显著高于对照组(P <0.05)。结论护理措施分类在急性淋巴细胞性白血病患儿护理中的应用能缓解焦虑抑郁情绪,提高治疗效果,促进患儿预后康复,有很好的应用价值。
Objective To explore the application methods and effects of nursing measures classification in the treatment of acute lymphocytic leukemia. Methods From February 2014 to December 2016, 70 children with acute lymphoblastic leukemia who were treated in our hospital were selected as subjects. According to the order of admission, there were 35 cases in the observation group and the control group. Both groups received conventional chemotherapy, and the chemotherapy cycle was 3 months. The control group received routine care during chemotherapy, and the observation group gave a care-based classification based on the care of the control group. Results The total effective rate of the observation group and the control group after treatment was 80.0% and 51.4% respectively. The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The scores of depression and anxiety in the observation group and the control group were significantly lower than those before treatment(P <0.05). The scores of depression and anxiety in the observation group were significantly lower than those in the control group(P <0.05). After treatment, the quality of life of the two groups was significantly improved, and the improvement of the observation group was significantly higher than that of the control group(P<0.05). Conclusion The application of nursing measures in the nursing of children with acute lymphoblastic leukemia can alleviate anxiety and depression, improve the therapeutic effect, and promote the prognosis of children. It has a good application value.
Objective To explore the application methods and effects of nursing measures classification in the treatment of acute lymphocytic leukemia. Methods From February 2014 to December 2016, 70 children with acute lymphoblastic leukemia who were treated in our hospital were selected as subjects. According to the order of admission, there were 35 cases in the observation group and the control group. Both groups received conventional chemotherapy, and the chemotherapy cycle was 3 months. The control group received routine care during chemotherapy, and the observation group gave a care-based classification based on the care of the control group. Results The total effective rate of the observation group and the control group after treatment was 80.0% and 51.4% respectively. The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The scores of depression and anxiety in the observation group and the control group were significantly lower than those before treatment(P <0.05). The scores of depression and anxiety in the observation group were significantly lower than those in the control group(P <0.05). After treatment, the quality of life of the two groups was significantly improved, and the improvement of the observation group was significantly higher than that of the control group(P<0.05). Conclusion The application of nursing measures in the nursing of children with acute lymphoblastic leukemia can alleviate anxiety and depression, improve the therapeutic effect, and promote the prognosis of children. It has a good application value.
引文
[1]张辰,张旭东,张明智. microRNA与急性淋巴细胞性白血病关系的研究进展[J].中国肿瘤临床, 2015, 42(2):129-133.
[2]王业生,孙玲,焦雪丽,等.改良VDLP方案在老年急性淋巴细胞白血病中的应用研究[J].中华老年医学杂志, 2016,35(9):975-977.
[3]司志刚,李俊,张一民,等. VTLP方案治疗初治成人急性淋巴细胞白血病的疗效观察[J].肿瘤基础与临床, 2014, 27(5):383-384.
[4]杨华,朱海燕,姜孟孟,等.地西他滨治疗骨髓增生异常综合征和急性髓系白血病的临床观察[J].中国实验血液学杂志,2013, 21(1):121-125.
[5]阿茹娜,李丽梅,王颖,等.沙利度胺联合利妥昔单抗治疗CLL/SLL的近期疗效[J].西北药学杂志, 2015, 2(12):193-194.
[6]顾龙君.儿童急性淋巴细胞白血病诊疗建议(第三次修订草案)[J].中华儿科杂志, 2006, 44(5):392-395.
[7]张雪.白血病患儿治疗期间生活质量与应对方式及亲属教养方式的相关性[J].中国妇幼保健, 2017, 32(4):736-739.
[8]孙霁雯,楼建华,沈南平,等.基于护理措施分类的儿童肿瘤护理核心护理措施的确立与比较[J].解放军护理杂志, 2016,33(6):7-12.
[9]李瑞,顾则娟,王翔,等.基于《护理措施分类》构建不同功能状态脑卒中偏瘫患者的护理方案[J].中国实用护理杂志,2016, 32(1):6-13.
[10]侯淑肖,么莉,李伟,等.国外常用护理术语分类体系对比分析[J].中国护理管理, 2017, 17(10):1432-1435.
[11]李俊玲,于晓娜,闫晓红.活性银离子抗菌液预防小儿白血病化疗后口腔溃疡的效果及其对患儿血浆细胞因子的影响[J].医学临床研究, 2017, 34(10):1944-1947.
[12]杨柳,王婧.优质护理干预对白血病患者不良情绪的影响[J].临床医学研究与实践, 2017, 2(10):165-166.
[13]邱艺彬.家庭护理干预在白血病骨髓移植病人康复期的效果观察[J].全科护理, 2017, 15(1):119-120.
[14]孙霁雯,沈南平,吴怡蓓,等.护理措施分类用于儿童心内科护理记录的适用性研究[J].中华护理杂志, 2017, 52(12):1440-1444.
[15]孙霁雯,楼建华,沈南平.基于护理措施分类系统的儿科护理核心措施的初步确立[J].中国实用护理杂志, 2017, 33(4):284-289.
[2]王业生,孙玲,焦雪丽,等.改良VDLP方案在老年急性淋巴细胞白血病中的应用研究[J].中华老年医学杂志, 2016,35(9):975-977.
[3]司志刚,李俊,张一民,等. VTLP方案治疗初治成人急性淋巴细胞白血病的疗效观察[J].肿瘤基础与临床, 2014, 27(5):383-384.
[4]杨华,朱海燕,姜孟孟,等.地西他滨治疗骨髓增生异常综合征和急性髓系白血病的临床观察[J].中国实验血液学杂志,2013, 21(1):121-125.
[5]阿茹娜,李丽梅,王颖,等.沙利度胺联合利妥昔单抗治疗CLL/SLL的近期疗效[J].西北药学杂志, 2015, 2(12):193-194.
[6]顾龙君.儿童急性淋巴细胞白血病诊疗建议(第三次修订草案)[J].中华儿科杂志, 2006, 44(5):392-395.
[7]张雪.白血病患儿治疗期间生活质量与应对方式及亲属教养方式的相关性[J].中国妇幼保健, 2017, 32(4):736-739.
[8]孙霁雯,楼建华,沈南平,等.基于护理措施分类的儿童肿瘤护理核心护理措施的确立与比较[J].解放军护理杂志, 2016,33(6):7-12.
[9]李瑞,顾则娟,王翔,等.基于《护理措施分类》构建不同功能状态脑卒中偏瘫患者的护理方案[J].中国实用护理杂志,2016, 32(1):6-13.
[10]侯淑肖,么莉,李伟,等.国外常用护理术语分类体系对比分析[J].中国护理管理, 2017, 17(10):1432-1435.
[11]李俊玲,于晓娜,闫晓红.活性银离子抗菌液预防小儿白血病化疗后口腔溃疡的效果及其对患儿血浆细胞因子的影响[J].医学临床研究, 2017, 34(10):1944-1947.
[12]杨柳,王婧.优质护理干预对白血病患者不良情绪的影响[J].临床医学研究与实践, 2017, 2(10):165-166.
[13]邱艺彬.家庭护理干预在白血病骨髓移植病人康复期的效果观察[J].全科护理, 2017, 15(1):119-120.
[14]孙霁雯,沈南平,吴怡蓓,等.护理措施分类用于儿童心内科护理记录的适用性研究[J].中华护理杂志, 2017, 52(12):1440-1444.
[15]孙霁雯,楼建华,沈南平.基于护理措施分类系统的儿科护理核心措施的初步确立[J].中国实用护理杂志, 2017, 33(4):284-289.