阶段性持续护理干预配合保护理论对白血病患者临床疗效和预后情况分析  

Analysis of Clinical Curative Effect and Prognosis of Patients with Leukemia by Stage Continuous Nursing Intervention and Protection Theory

作　　者：刘琦 LIU Qi(Department of Hematology,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui Province,233000 China)

机构地区：[1]蚌埠医学院第一附属医院血液科,安徽蚌埠233000

出　　处：《中外医疗》2021年第34期151-155,共5页China & Foreign Medical Treatment

摘　　要：目的探究白血病患者应用阶段性持续护理干预与保护理论对临床效果与预后的影响。方法便利选取2020年1月—2021年5月期间该院收治的66例白血病患者展开研究。所有研究对象随机分成两组,分别命名为研究组、常规组,每组33例。常规组实施保护理论护理,研究组在其基础上配合实施阶段性持续护理,对比两组护理前后的心理评分、预后以及护理满意度的差异。结果与两组患者护理前的心理评分进行对比,其护理后的焦虑、抑郁心理评分均明显降低,并且研究组护理后的两项心理评分明显降低,差异有统计学意义(P<0.001);两组护理后的生活评分均明显升高,并且研究组的生活质量评分明显升高,差异有统计学意义(P<0.001);相比于常规组,研究组的1年生存率明显升高,分别是69.70%、87.88%,差异有统计学意义(χ^(2)=4.227,P=0.040);相比于常规组,研究组的护理满意度明显升高,分别是60.61%、87.88%,差异有统计学意义(χ^(2)=6.418,P=0.011)。结论白血病患者实施临床护理时配合保护理论实施阶段性持续护理干预,有利于改善患者的焦虑抑郁情绪,可以有效改善患者的预后,配合保护理论实施阶段性持续护理干预是白血病患者的良好护理方案,值得推广应用。Objective To explore the impact of the application of staged continuous nursing intervention and protection theory on the clinical effect and prognosis of leukemia patients.Methods From January 2020 to May 2021,conveniently selected 66 patients with leukemia admitted to the hospital were studied.All study subjects were randomly divided into two groups,named study group and routine group,33 cases per group.The routine group implemented protection theory nursing,and the research group cooperated with the implementation of staged continuous nursing based on it,and compared the differences in psychological scores,prognosis and nursing satisfaction between the two groups before and after nursing.Results Compared with the psychological scores of the two groups of patients before nursing,their anxiety and depression psychological scores after nursing were significantly reduced,and the two psychological scores of the study group after nursing were significantly reduced,the difference was statistically significant(P<0.001);the life scores of the two groups after nursing were significantly increased,and the quality of life score of the study group was significantly increased,the difference was statistically significant(P<0.001);compared with the conventional group,the 1-year survival rate of the study group was significantly higher,69.70%,87.88%,the difference was statistically significant(χ^(2)=4.227,P=0.040);compared with the conventional group,the nursing satisfaction of the study group was significantly higher,60.61%and 87.88%,respectively,the difference was statistically significant(χ^(2)=6.418,P=0.011).Conclusion The implementation of phased continuous nursing interventions in conjunction with the protection theory in the implementation of clinical care for leukemia patients is beneficial to improve patients’anxiety and depression,and can effectively improve the patient’s prognosis.The implementation of phased continuous nursing interventions in conjunction with the protection theory is a good nursing plan for

关 键 词：阶段性持续护理 保护理论 白血病 临床疗效 预后 心理评分 

分 类 号：R473[医药卫生—护理学]