延续护理在白血病患儿维持治疗期的应用效果  

Effects of continuing care on children patients with leukemia during maintenance treatment period

作　　者：宋文静 杨晓茜 陈燕芬 Song Wenjing;Yang Xiaoxi;Chen Yanfen(Department of Hematology,Children's Hospital,Capital Institute of Pediatrics,Beijing 100020,China;Department of Nursing,Children's Hospital,Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院血液内科,北京100020 [2]首都儿科研究所附属儿童医院护理部,北京100020

出　　处：《中华现代护理杂志》2018年第34期4142-4145,共4页Chinese Journal of Modern Nursing

基　　金：2017年首都儿科研究所青年科研基金项目(QN-2017-01).

摘　　要：目的探讨白血病患儿维持治疗期延续护理方法,观察应用效果,为延续护理研究提供依据。方法2016年11月—2018年1月,采用便利抽样法选取首都儿科研究所附属儿童医院行维持化疗且保留深静脉置管的白血病患儿160例为研究对象,按照入院顺序分为观察组与对照组。2016年11月—2017年1月住院的80例白血病患儿为对照组,采用传统的出院指导结合电话随访的延续护理方法。2017年11月—2018年1月住院的80例白血病患儿为观察组,采用科室制定的多元、全程、优质的延续护理方法。比较两组健康教育知识知晓率、深静脉置管管路并发症的发生率及延续护理服务满意度。结果观察组健康教育知识知晓率为85.0%,高于对照组的61.3%,差异有统计学意义(P<0.01);观察组深静脉置管管路并发症发生率为6.25%,低于对照组的28.75%,差异有统计学意义(P<0.01);观察组家长对科室延续护理服务的满意度为97.50%,高于对照组的83.75%,差异有统计学意义(P<0.01)。结论延续护理对白血病患儿疾病治疗与康复至关重要,延续护理实践效果良好,值得推广。Objective To explore the method of continuing care for children patients with leukemia and to observe its effects to offer reference for continuing care research. Methods Totally 160 children patients with leukemia who received maintenance chemotherapy and deep vein indwelling catheterization between November 2016 and January 2018 in Children's Hospital, Capital Institute of Pediatrics, were selected by convenient sampling and divided into the observation group and the control group based on the admission time. A total of 80 children patients admitted between November 2016 and January 2017 were divided into the control group who received continuing care in the form of conventional discharge guidance and telephone follow-up, while the other 80 patients admitted from November 2017 to January 2018 were divided into the observation group who received the multielement, whole-course and high-quality continuing care as designed by the department. The awareness rate of health education knowledge, the incidence rate of deep vein catheter-associated complications and the satisfaction degree of continuing care service were compared between the two groups. Results The awareness rate of health education knowledge was 85.0% in the observation group, significantly higher than that of the control group (P<0.01) , which was 61.3%;the incidence rate of deep vein catheter-associated complications was 6.25% in the observation group, lower than that of the control group (P<0.01) , which was 28.75%;and the satisfaction of the parents of the observation group with continuing care service was 97.50%, higher than that of the control group (P<0.01) , which was 83.75%. Conclusions Continuing care is of critical importance for treatment and rehabilitation of children patients with leukemia. The continuing care practice is effective and worth promoting in clinical practice.

关 键 词：白血病 患儿 延续护理 维持治疗期 

分 类 号：R473.73[医药卫生—护理学]