中西医结合护理方式对白血病患者希望水平和治疗依从性的影响  

Effects of combining traditional Chinese and western medicine nursing on hope levels and treatment adherence in patients with leukemia

作　　者：支芸[1] 徐晓敏[1] 张琳敏[1] 谢珺[1] 徐琳洁[1] 

机构地区：[1]南京医科大学附属无锡市人民医院血液科,214023

出　　处：《中华现代护理杂志》2015年第28期3392-3395,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探究中西医结合护理方式对白血病患者希望水平和治疗依从性的影响. 方法 采用便利抽样法选取2012年1月—2014年7月接受治疗的90例白血病患者作为研究对象,采用随机数字表法将患者分为观察组和对照组. 观察组患者采取中西医结合的护理方式,对照组患者采取常规护理方式. 比较两组患者治疗后的希望水平和治疗依从性,并对两组患者治疗前后的生活质量进行比较.结果 治疗后,观察组患者对现实与未来的积极态度、采取的积极行动及与他人保持亲密的关系的希望水平均优于对照组,差异有统计学意义（Z值分别为4. 563,2. 951,2. 366;P＜0. 05）;观察组患者依从性优于对照组,差异有统计学意义（Z=3. 035,P＜0. 05）. 治疗前,两组患者生活质量得分差异无统计学意义（P＞0. 05）,治疗后观察组患者的生活质量各维度得分均高于对照组,差异有统计学意义（P＜0. 05）.结论 中西医结合护理方式不仅使得患者的希望水平以及治疗依从性水平提高,还能提高患者的生活质量。Objective To explore the effects of combining traditional Chinese and western medicine nursing for leukemia patients′ hope levels and treatment adherence. Methods To select 90 leukemia paitents from January 2012 to July 2014 in our hospital for treatment, the patients were randomly divided into experimental group and control group by random number table. The patients of experimental group received combining traditional Chinese and western medicine nursing, while the patients of control groups underwent routine nursing methods. We compared the hope level, treatment adherence between two groups and quality of life before and after treatment in two groups. Results After treatment in the experimental group, patients′hope levels presented better than the patients of control group in positive attitudes towards reality and future, positive behavior and keeping close relationship with others （Z =4. 563, 2. 951, 2. 366;P 〈0. 05）. The patients′compliance of experimental group was better than that of the control group （Z =3. 035,P 〈0. 05）. Before treatment, the difference of quality of life had no statistical significance between two groups （P〉0. 05）, but after treatment, each dimensions of quality of life in the experimental group was higher than that of the control group （P〈0. 05）. Conclusions Combining traditional Chinese and western medicine nursing not only can improve patients′hope level and treatment adherence, but also can contribute patients′quality of life.

关 键 词：白血病 中西医结合 希望水平 依从性 

分 类 号：R473.73[医药卫生—护理学]