|
|
Application effect of problem-oriented specialized nursing intervention in patients with acute lymphoblastic leukemia |
LI Jing ZHANG Yanming WANG Min WANG Li |
Department of Hematology, Huaian Second People’s Hospital, Jiangsu Province, Huaian 223001, China
|
|
|
Abstract Objective To explore the application effect of problem-oriented specialized nursing intervention in patients with acute lymphoblastic leukemia. Methods A total of 160 patients with acute lymphoblastic leukemia from January 2018 to December 2021 were selected from the Huaian Second People’s Hospital, Jiangsu Province. According to the random number table method, the patients were divided into control group and research group, with 80 cases in each group. The control group was treated with routine nursing intervention, and the study group was treated with problem-oriented specialized nursing intervention on the basis of the control group. Both groups were treated for two months. Mental resilience, hope level, depression, anxiety, sleep quality, and quality of life were compared between the two groups. Results After two months of intervention, the scores of optimism, resilience, strength, intimacy, life attitude, positive action, and quality of life in two groups were higher than those before intervention, and the study group were higher than those in the control group (P<0.05); depression self-rating scale, anxiety self-rating scale, Pittsburgh sleep quality indexes, quality of life symptom field scores were lower in two groups than those before intervention, and those of the study group were lower than those of the control group (P<0.05). Conclusion Problem-oriented specialized nursing intervention can alleviate acute lymphoblastic leukemia patients with depression, anxiety, improve the psychological resilience of patients, improve the level of hope, improve patients’ sleep quality and quality of life, has a good intervention effect.
|
|
|
|
|
[1] 惠雷,张金萍,国志,等.亚裔儿童ABCB1基因C3435T多态性对患急性淋巴细胞白血病危险性的相关研究[J]. 实用癌症杂志,2020,35(2):185-188.
[2] Zhang C,Mao Y,Tang F,et al. The application effect analysis of personalized health education in acute leukemia nursing [J]. Am J Transl Res,2021,13(3):1847-1853.
[3] 李瑞,史云霞,于立洋,等.以问题为导向的循征护理在主动脉夹层动脉瘤患者中的应用[J].中华现代护理杂志,2021,27(31):4326-4328.
[4] 杨芳,沈菲,汪芸玏,等.基于问题导向的整体护理干预对老年冠心病患者遵医行为及疾病知识掌握度的影响[J].中国医药导报,2021,18(34):168-171.
[5] 中华医学会血液学分会白血病学组.急性髓系白血病治疗的专家共识(第一部分)[J].中华血液学杂志,2009,30(6):429-431.
[6] 张杨,蒙沙,岳溪.老年急性髓系白血病化疗患者心理弹性与生活质量和情绪状态相关性研究[J].老年医学与保健,2021,27(2):364-366,380.
[7] 张阳,张灵,徐静.基于自我调节模式的疾病感知护理在急性淋巴细胞性白血病透析患者中的应用[J].中国医药导报,2021,18(14):181-184.
[8] 谷景荣,郁月华,王瑞.综合护理干预对急性淋巴细胞白血病病人生存质量、睡眠质量及心理状况的影响[J].护理研究,2020,34(20):3738-3740.
[9] 徐慧.延伸护理对白血病化疗患者心理状态和依从性的影响分析[J].贵州医药,2020,44(9):1470-1471.
[10] 曾春艳,马晓辉,孟炎杰.健康宣教标准路径对急性髓系白血病患者负性情绪、生活质量、睡眠质量及预后的影响[J].癌症进展,2021,19(2):211-214.
[11] 战雅琦,姜艳君,谭金玉,等.基于以问题为导向的专项护理干预对白血病化疗患者的效果评价[J].海军医学杂志,2021,42(5):620-623.
[12] 朱琴,储金华,章桂芳.团体活动对化疗期急性淋巴细胞白血病患儿身心症状群的影响[J].中国实用护理杂志,2020,36(34):2680-2685.
[13] 张冠珣,阐玉英,李蓉蓉,等.儿童医疗辅导游戏在急性白血病患儿护理中的应用进展[J].中国实用护理杂志,2021,37(9):717-721.
[14] 朱振芳,李晓梅,张欣.PDCA护理管理模式在急性白血病患者化疗中的应用效果分析[J].贵州医药,2021,45(11):1841-1842.
[15] 田金满,丹海永,史楠,等.循证护理在白血病患者化疗期间感染护理中的应用效果及对患者生活质量的影响[J]. 中华医院感染学杂志,2018,28(2):295-297,308.
[16] 安婷,党静,孙蕊.集束化护理路径对白血病患者的护理效果分析[J].贵州医药,2021,45(12):1987-1988.
[17] 崔虹,陈凌,林丽霞,等.基于积极心理学理论的心理干预对老年冠心病患者心血管不良事件及再住院率的影响[J].现代临床护理,2021,20(11):43-47.
[18] 赵航,李英梅,杨靖,等.基于患者主观整体评估的多学科团队管理在成人急性白血病患者营养管理中的应用[J]. 中华现代护理杂志,2021,27(16):2186-2189.
[19] 徐慧.循证护理对降低白血病化疗患者口腔溃疡发生率的效果研究[J].贵州医药,2020,44(5):840.
[20] 钟晓娜,李丹.综合护理干预在甲氨蝶呤致急性淋巴细胞白血病患儿中毒的血液透析中的应用[J].中国医科大学学报,2019,48(8):759-761.
[21] 唐雅文,张琳,杨雪,等.急性淋巴细胞白血病患儿的口腔健康管理[J].口腔疾病防治,2021,29(8):572-576.
[22] 周红花,张春梅,沈晓雯,等.急性淋巴细胞白血病患儿癌因性疲乏现状及影响因素分析[J].中国护理管理,2021, 21(4):508-511.
[23] 王黎红,何华.护理措施分类在急性淋巴细胞性白血病护理中的应用分析[J].长春中医药大学学报,2019,35(1):153-155.
[24] 朱顺利,金雪萍.CD19-CAR-T细胞治疗急性B淋巴细胞白血病的护理[J].上海护理,2019,19(2):45-47.
[25] 柯莎,方云,张伟伟,等.复发难治性淋巴细胞白血病CAR-T治疗中出凝血功能障碍的护理[J].护理学杂志,2022,37(8):29-31. |
|
|
|