延续性干预在老年急性白血病化疗患者护理中的应用效果  

Application effects of continuous intervention in nursing care of elderly patients with acute leukemia undergoing chemotherapy

作　　者：王清松 朱鸿燕 王凌云 Wang Qingsong;Zhu Hongyan;Wang Lingyun(Department of Hematology,West China Hospital/West China College of Nursing,Sichuan University,Chengdu,Sichuan,610041,P.R.China)

机构地区：[1]四川大学华西医院血液内科/四川大学华西护理学院,四川成都610041

出　　处：《老年医学与保健》2024年第1期118-122,共5页Geriatrics & Health Care

基　　金：2015年四川省卫生和计划生育委员会科研课题(150115)。

摘　　要：目的探究延续性干预在老年急性白血病化疗患者护理中的应用效果,为治疗该病症提供方法。方法选取2018年3月—2022年7月在四川大学华西医院进行化疗治疗的急性白血病患者102例,随机分成观察组和对照组,每组51例。观察组给予延续性干预,对照组予以常规护理干预。评估并比较2组干预前后心理状态、癌性疲乏感、治疗依从性、不良反应发生率及生活质量。结果干预2个月,观察组汉密尔焦虑量表、汉密尔抑郁量表、癌症疲乏量表得分及不良反应发生率均低于对照组,用药依从性、化疗依从性、运动依从性、饮食依从性及健康调查简表得分均高于对照组,差异均有统计学意义(P<0.05)。结论延续性干预措施对老年急性白血病化疗患者应用效果较好,可改善患者情绪状态,降低其癌性疲乏感,提高治疗依从性,降低不良反应发生率,改善生活质量,临床应用价值较好。Objective To explore the application effects of continuous intervention in nursing care of elderly patients with acute leukemia undergoing chemotherapy,and provide methods for the treatment of this disease.Methods A total of 102 patients with acute leukemia who received chemotherapy in West China Hospital of Sichuan University from March 2018 to July 2022 were selected and randomly divided into observation group and control group,with 51 ones in each group.The observation group received continuous intervention,while the control group received routine nursing intervention.The psychological status,cancer-related fatigue,treatment compliance,incidence of adverse reactions and quality of life of the two groups before and after intervention were evaluated and compared.Results After 2 months of intervention,the scores of Hamilton Anxiety Scale,Hamilton Depression Scale,Cancer Fatigue Scale and the incidence of adverse reactions in the observation group were lower than those in the control group;the medication compliance,chemotherapy compliance,exercise compliance,dietary compliance,and the score of the Health Survey Questionnaire in the observation group were higher than those in the control group.The above differences between the two groups were all statistically significant(P<0.05).Conclusion The application of continuous intervention measures has a good effect on elderly patients with acute leukemia undergoing chemotherapy.It can improve the psychological status of patients,reduce their cancer-related fatigue,improve treatment compliance,reduce the incidence of adverse reactions,improve quality of life,and has good clinical application value.

关 键 词：老年 急性白血病 延续性干预 化疗 治疗依从性 不良反应 

分 类 号：R473.73[医药卫生—护理学]