摘要
目的探讨护理干预对于急性白血病患者胃肠道反应的影响,寻求化疗全程中减轻胃肠道反应的有效方法。方法选取2015年6月至2016年2月于盛京医院第一血液内科确诊为急性白血病的住院患者128例,随机分为实验组和对照组,每组64例。实验组以患者为中心,针对患者的病因、治疗方法等方面,分别于化疗前、中、后期采取相应的预防讲解、健康教育、心理疏导、分级护理、饮食指导等方案,于化疗前至化疗后3周实施有针对性的护理干预措施;对照组进行急性白血病化疗常规护理。结果实验组患者恶心程度显著低于对照组(χ~2=11.087,P=0.011),呕吐程度显著低于对照组(χ~2=12.593,P=0.006);实验组患者护理服务满意度显著高于对照组(χ2=9.870,P=0.007),差异均有显著性。结论对急性白血病患者实施全程护理干预措施,可有效减轻其化疗后的胃肠道反应。
Objective The purpose of this study was to explore the effect of full process of nursing intervention on gastrointestinal reaction of patients with acute leukemia, and to seek the effective way of alleviating the gastrointestinal reaction in the whole process of chemotherapy. Method 128 patients with acute leukemia were chosen and randomly divided into experimental group and control group, each group contained 64 cases. According to the etiology, treatment methods, experimental group is patient-oriented and takes these corresponding actions in the earlier, middle and later stage of chemotherapy （3 consecutive weeks in total） respectively： prevention, health education, psychological counseling, grading nursing and diet guidance. Control group takes the routine nursing care in accordance with chemotherapy of acute leukemia. Result The degrees of following parameters in the experimental group were significantly less than that in the control group： nausea （χ2 = 11.087, P = 0.011）, vomiting （χ2 = 12.593, P = 0.006）; Patient satisfaction with nursing care in the experimental group were significantly higher than that in the control group （χ2 = 9.870, P = 0.007）, the differences are remarkable between the two groups （P〈0.05）. Conclusion Full process of nursing intervention for patients with acute leukemia can effectively reduce gastrointestinal reaction after chemotherapy in patients with acute leukemia.
出处
《中国医刊》
CAS
2017年第9期102-105,共4页
Chinese Journal of Medicine
关键词
急性白血病
全程护理干预
胃肠道反应
Acute leukemia
Full process of nursing intervention
Gastrointestinal reaction
