摘要
目的探讨整体化理念的护理干预对慢性粒细胞白血病患者负性情绪及生存质量的影响,为临床对慢性粒细胞白血病患者予以更具有针对性的护理措施提供参考。方法选取2018-02-01-2021-03-31河南省肿瘤医院收治的慢性粒细胞白血病患者51例。按照随机数字表法分为2组,对照组25例给予常规护理,观察组26例在对照组基础上给予整体化理念的护理干预,采用问卷调查的方式对比2组患者疾病知识掌握度、负性情绪、生存质量以及睡眠质量的影响。对于收集的统计学数据,符合正态分布的计量资料,组内干预前后比较采用单因素协方差分析。结果干预6个月后2组疾病知识、心理咨询、药物指导、饮食运动评分均升高且观察组药物指导为(95.66±4.52)分、饮食运动为(94.97±3.81)分、疾病知识为(92.67±3.87)和心理咨询为(86.57±2.17)分均高于对照组的(92.05±6.51)分、(92.15±4.01)分、(89.27±3.54)分、(84.64±3.69)分,F值分别为0.613、28.410、14.420和6.041,均P<0.05;干预6个月后2组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均降低且观察组SAS为(40.94±2.51)分和SDS为(39.67±8.54)分低于对照组的(46.37±10.84)分、(45.08±7.34)分,F值分别为5.242和9.683,均P<0.05;干预6个月后2组心理、健康状态、生理、生活质量、社会、环境评分均升高且观察组心理为(14.64±1.28)分、健康状态为(17.36±1.85)分、生理为(15.14±2.11)分、生活质量为(17.64±1.96)分、社会为(13.64±2.17)分、环境为(16.64±2.71)分高于对照组的(13.18±2.02)分、(16.10±2.04)分、(14.01±1.25)分、(16.30±2.15)分、(11.34±3.05)分、(14.31±3.67)分,F值分别为9.730、12.223、9.924、3.984、11.578和3.677,均P<0.05;干预6个月后2组睡眠质量、睡眠效率、入睡时间和睡眠时间评分均降低且观察组睡眠质量为(1.02±0.16)分、睡眠效率为(1.98±0.11)分、入睡时间为(1.91±0.19)分、睡眠时间(1.84±0.17)分低于对照组的(1.48±0.17)分、(2.11±0.21)分、(2.03±0.15)分、(2.05±0.25)分,F值分别为10.912、3.867、6.596和16.073,均P<0.05。结论整体化理念的护理干预通过增加慢性粒细胞白血病患者疾病知识掌握度,改善负性情绪,提高睡眠质量和生存质量。
Objective To investigate the influence of holistic nursing intervention on negative emotions and quality of life of CML patients,so as to provide reference for clinical nursing measures for patients with chronic myeloid leukemia(CML).Methods A total of 51 patients with CML from February 1st 2018 to March 31st 2021 in Henan Cancer Hospital were prospectively selected according to the strict standard of admission.According to the random number table method,25 patients in the control group were given routine nursing,and 26 patients in the observation group were given holistic nursing intervention on the basis of the control group.The effects of disease knowledge,negative emotions,quality of life and sleep quality of the two groups were compared by questionnaire survey.For the collected statistical data and the measurement data that conform to the normal distribution,one-way covariance analysis was used before and after the intervention in the group.Results After 6 months’intervention,the scores of disease knowledge,psychological counseling,drug guidance and diet and exercise in the two groups all increased,and the scores of drug guidance(95.66±4.52)point,diet and exercise(94.97±3.81)point,disease knowledge(92.67±3.87)point and psychological counseling(86.57±2.17)point in the observation group were higher than those in the control group(92.05±6.51),(92.15±4.01),(89.27±3.54)and(84.64±3.69)points(F values are 0.613,28.410,14.420 and 6.041,respectively,P values are all<0.05);After 6 months of intervention,the scores of SAS and SDS in both groups decreased,and the scores of SAS(40.94±2.51)and SDS(39.67±8.54)points in the observation group were lower than those in the control group(46.37±10.84)and(45.08±7.34)points Fvalues were 5.242and 9.683,respectively,all P<0.05.After 6months of intervention,the scores of psychology,health status,physiology,quality of life,society and environment in the two groups increased,and the scores of psychology(14.64±1.28),health status(17.36±1.85),physiology(15.14±2.11),quality of life(17.64±1.96)and society(13.64±2.17)points,environmental score(16.64±2.71)in the observation group were higher than that of the control group(13.18±2.02),(16.10±2.04),(14.01±1.25),(16.30±2.15),(11.34±3.05)and(14.31±3.67)points.After 6months of intervention,the sleep quality,sleep efficiency,scores of falling asleep and sleeping time in both groups decreased,and the scores of sleep quality(1.02±0.16),sleep efficiency(1.98±0.11),falling asleep time(1.91±0.19)and sleeping time(1.84±0.17)in the observation group were lower than those in the control group(1.48±0.17),(2.11±0.21),(2.03±0.15)and(2.05±0.25)points(Fvalues were 10.912,3.867,6.596and 16.073respectively,Pvalues were all<0.05).Conclusion The holistic nursing intervention can improve the negative emotion,sleep quality and life quality of patients with chronic myeloid leukemia by increasing their knowledge of diseases.
作者
范慧
翟岩
李宣萱
FAN Hui;ZHAI Yan;LI Xuan-xuan(Seven Blood Ward,Henan Cancer Hospital,Zhengzhou 450000,China)
出处
《社区医学杂志》
CAS
2022年第9期524-528,共5页
Journal Of Community Medicine
关键词
整体化理念
慢性粒细胞白血病
负性情绪
生存质量
holistic concept
chronic granulocytic leukemia
negative emotion
quality of life
