多学科协作下的延续性护理在非霍奇金淋巴瘤患者中的应用效果  

Application effects of continuous nursing under multidisciplinary collaboration in patients with non-Hodgkin lymphoma

作　　者：杨金焕 YANG Jinhuan(Department of Hematology of Puyang People’s Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市人民医院血液科,河南濮阳457000

出　　处：《中国民康医学》2024年第21期173-176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察多学科协作下的延续性护理在非霍奇金淋巴瘤(NHL)患者中的应用效果。方法:选取2021年8月至2023年8月该院收治的76例NHL患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各38例。对照组实施常规护理,观察组在对照组基础上实施多学科协作下的延续性护理,两组均持续护理2个月。比较两组依从性评分,护理前后负性情绪[抑郁-焦虑-压力量表简体中文版(DASS-21)]、癌因性疲乏[癌症疲乏量表(CFS)]、生命质量[Spitzer生活质量指数(SQOL)]评分,以及护理满意度评分。结果:观察组科学饮食、遵医用药、适当运动、规律作息等依从性评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组焦虑、抑郁、压力等DASS-21各维度评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组认知疲乏、躯体疲乏、情感疲乏等CFS各维度评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组活动、支持、健康、日常生活、总体情况等SQOL各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组心理疏导、健康宣教、服务态度、护理质量等护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:多学科协作下的延续性护理应用于NHL患者可提高依从性、生命质量和护理满意度评分,降低负性情绪、癌因性疲乏评分,效果优于常规护理。Objective:To observe application effects of continuous nursing under multidisciplinary collaboration in patients with non-Hodgkin lymphoma(NHL).Methods:A prospective study was conducted on 76 NHL patients admitted to the hospital from August 2021 to August 2023.According to the random number table method,they were divided into control group and observation group,38 cases in each group.The control group was given routine nursing,while the observation group was given continuous nursing under multidisciplinary collaboration on the basis of that of the control group.Both groups received the nursing for 2 months.The compliance scores,the negative emotions[depression-anxiety-stress scalesimplified Chinese version(DASS-21)],the cancer-related fatigue[cancer fatigue scale(CFS)]and the quality of life[Spitzer quality of life index(SQOL)]scores before and after the nursing,and the nursing satisfaction scores were compared between the two groups.Results:The compliance scores of scientific diet,compliance with medical drugs,proper exercise and regular work and rest in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of DASS-21 dimensions such as anxiety,depression and stress in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of CFS dimensions such as cognitive fatigue,physical fatigue and emotional fatigue in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SQOL dimensions such as activity,support,health,daily life and overall situation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction scores of psychological counseling,health education,service attitude and nursing quality in the observation group were hi

关 键 词：非霍奇金淋巴瘤 多学科协作 延续性护理 依从性 癌因性疲乏 生命质量 负性情绪 

分 类 号：R733.4[医药卫生—肿瘤]