舒适护理在改善机采血细胞患者舒适度中的应用  

Application of comfort care on improving the comfort of patients with blood cell collection assisted by blood collector

作　　者：秦菲 许青[1] 高嵩[1] 李莉[2] QIN Fei;XU Qing;GAO Song;LI Li(Cancer Center,Shanghai 10th People’s Hospital Affiliated to Tongji University,Shanghai 200072,China;Department of Oncology,Shanghai 10th People’s Hospital Affiliated to Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属上海市第十人民医院癌症中心,上海200072 [2]同济大学附属上海市第十人民医院肿瘤科,上海200072

出　　处：《临床与病理杂志》2020年第10期2703-2708,共6页Journal of Clinical and Pathological Research

基　　金：国家自然科学基金(201640020)。

摘　　要：目的:探讨舒适护理对机采血细胞采集患者舒适度的影响。方法:选取2018年5月至12月期间同济大学附属第十人民医院住院期间进行机采血患者86例,按照随机数字表将其划分为干预组和对照组各43例。对照组采用常规机采护理,干预组在此基础上采用舒适护理,包括三段式医护共同参与下的静脉评估,针对性体位更换和活动关节,音乐播放及亲人陪伴等护理干预。对比两组机采血操作时间,采用Kolcaba舒适状况量表进行问卷调查。结果:干预组机采血时间及舒适状况显著优于对照组,差异有统计学意义(P<0.01)。结论:舒适护理可有效缩短机采血时间,改善患者的舒适度。Objective:To explore the effect of comfort care on the comfort of patients with blood cell collection assisted by blood collector.Methods:From May to December 2018,86 patients in the Shanghai Tenth People’s Hospital affiliated to Tongji University were randomly divided into an intervention group(n=43)and a control group(n=43).The control group was treated with routine mechanical care,and the intervention group was treated with comfort care,including three-stage venous evaluation with the participation of medical and nursing staff,changing position,music background,family companionship and other nursing interventions.The collecting blood time was compared between the control group and the intervention group.The Kolcaba Comfort Scale was used to investigate the comfort of the patients in the 2 groups.Results:The collecting blood time of the intervention group was shorter than those in the control group.Comfort status in the intervention group was significantly better than those in the control group(P<0.01).Conclusion:Comfort care can effectively reduce the collecting blood time and improve the comfort of patients with cell collection assisted by blood collector.

关 键 词：舒适护理 细胞采集 采血机 

分 类 号：R472[医药卫生—护理学]