预防性护理联合情绪疗法对白血病化疗患者自我效能、遵医行为、感染预防的效果观察  

Observation on the effect of preventive nursing combined with emotional therapy on self-efficacy,compliance behavior,and infection prevention in leukemia chemotherapy patients

作　　者：谢丽丽 胡亭钰 张丽 XIE Lili;HU Tingyu;ZHANG Li(Affiliated Hospital of Xuzhou Medical University,Xuzhou,221000,China)

机构地区：[1]徐州医科大学附属医院血液科,江苏省徐州市221000

出　　处：《护理实践与研究》2023年第18期2762-2767,共6页Nursing Practice and Research

基　　金：2021年度徐州医科大学附属医院发展基金项目(编号:XYFM2021003)。

摘　　要：目的探讨预防性护理联合情绪疗法在白血病化疗患者中的应用。方法选取2021年1—12月医院血液科收治的白血病化疗患者76例,按照组间基本特征具有可比性的原则分为观察组及对照组,每组38例。对照组行预防性护理干预,观察组在预防性护理基础上实施情绪疗法,比较两组患者干预前后自我效能、应对方式、遵医行为、患者生活质量以及化疗期间感染发生率。结果预防性护理联合情绪疗法干预前,两组自我效能及遵医行为总评分比较差异无统计学意义(P>0.05);干预后,观察组自我效能及遵医行为总评分高于对照组,组间差异均有统计学意义(P<0.05)。干预前,两组应对方式中的面对、屈服、回避3个维度评分比较差异无统计学意义(P>0.05);干预后,观察组面对维度评分高于对照组(P<0.05),而观察组屈服维度、回避维度评分低于对照组,组间差异均有统计学意义(P<0.05)。观察组感染发生率低于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量中生理功能、情感功能、社会功能、角色功能4个维度评分比较差异无统计学意义(P>0.05);干预后,观察组生活质量以上4个维度评分高于对照组,差异均有统计学意义(P<0.05)。结论预防性护理联合情绪疗法干预能有效提高白血病化疗患者自我效能,使患者能积极应对疾病,提高患者遵医行为,从而有效预防骨髓抑制后感染的发生,可提升患者生活质量。Objective To explore the application of preventive nursing combined with emotional therapy in leukemia chemotherapy patients.Methods To select 76 leukemia chemotherapy patients admitted to the hematology department of the hospital from January to December 2021,they were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 38 cases in each group.The control group received preventive nursing intervention,while the observation group received emotional therapy on the basis of preventive nursing.The self-effi cacy,coping style,compliance behavior,quality of life,and infection rate during chemotherapy were compared between the two groups of patients before and after intervention.Results Before the preventive nursing combined with emotional therapy intervention,there was no signifi cant diff erence in total scores of self-effi cacy and compliance behavior between the two groups(P>0.05).After intervention,the total scores of self-effi cacy and compliance behavior in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in the scores of the three dimensions of facing,yielding and avoiding in the two groups'coping styles(P>0.05).After intervention,the facing score in the observation group was higher than that in the control group,and the yielding,and avoiding scores in the observation group were lower than those in the control group,the diff erences between the groups were statistically significant(P<0.05).The incidence of infection in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant diff erence in the scores of physiological function,emotional function,social function,and role function in the quality of life between the two groups(P>0.05);after inter

关 键 词：情绪疗法 预防性护理 白血病 化疗 感染 效果比较 

分 类 号：R473.5[医药卫生—护理学]