整体护理干预应用于血栓性血小板减少性紫癜患者实施血浆置换期间的临床研究

CLINICAL STUDY OF HOLISTIC NURSING INTERVENTION FOR PATIENTS WITH TTP DURING PLASMA EXCHANGE

目的探讨整体护理干预应用于血栓性血小板减少性紫癜(TTP)患者实施血浆置换期间的临床效果。方法选择收治的TTP患者58例作为研究对象,将2009年5月—2011年4月实施常规护理的27例患者作为对照组,将2011年5月—2014年4月实施整体护理的31例患者作为观察组,比较二组患者护理前后的汉密尔顿焦虑量表(HAMA)和焦虑自评量表(SAS)评分、不良反应发生率及患者满意度。结果观察组出院前1d HAMA、SAS评分为(14.19±1.39)分和(35.27±8.57)分,均低于对照组,差异有统计学意义(P<0.05);观察组护理质量、护理满意度评分为(9.48±0.34)分和(9.56±0.28)分,均高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 TTP患者实施血浆置换期间应用整体护理干预显著缓解焦虑情绪,提高了患者满意度,值得临床重视。

Objective To explore clinical effect of holistic nursing intervention applied in thrombotic thrombocytopenic purpura （TTP） patients during plasma exchange. Methods Totally 58 cases of TTP patients admitted to author＇s hospital from May 2009 to April 2014 as the research subjects, 27 cases of the control group received routine nursing care in May 2009 to April 2011, while 31 cases of patients as the observation group in May 2011 to April 2014 were the implementation of holistic nursing care. The self rating Anxiety Scale （SAS} and self rating Depression Scale （SDS） scores, the incidence of complications and patients＂ satisfaction were compared between the two groups of patients before and after care. Results In the observation group, 1D HAMA, SAS score before hospital discharge were （14. 19 --- 1.39） and （35.27 ±8.57）, . lower than the control group, the difference was statistically significant （P^0.05）. The nursing quality and nursing satisfaction score were （9.48 ±0.34） and （9.56 - 0.28） in.the observation group, higher than the control group, the difference was statistically significant （P〈0.05）, but whose adverse reaction was significantly lower than that in the control group （P〈0.05）. Conclusion The application of holistic nursing intervention for patients with TTP during plasma exchange can ease the anxiety, improve the satisfaction of patients, it is worthy of attention in clinic.