整体护理干预在急性白血病患者化疗后骨髓抑制期的应用体会

Holistic nursing intervention of patients with bone marrow depression caused by chemotherapy of acute leukemia

目的探讨整体护理干预在急性白血病患者化疗后骨髓抑制期中的应用效果。方法选择我院收治的138例急性白血病化疗后骨髓抑制期的患者作为研究对象,并将其随机分成对照组和实验组,每组各69例,其中对照组采取常规护理措施,实验组采取整体护理干预,主要包括心理护理、基础护理、发热护理、化疗后感染护理、外周静脉置管护理、出血的预防及护理等,并比较两组不良反应情况。结果在化疗后的骨髓抑制期中,实验组患者的发热率、感染率、出血率均明显低于对照组,且差异有统计学意义(P<0.05)。结论对急性白血病化疗后骨髓抑制期的患者采取整体护理干预可有效控制患者的不良反应,帮助患者平稳度过骨髓抑制期。

Objective To explore holistic nursing intervention in the patients with bone marrow depression caused by chemotherapy of acute leukemia. Methods 138 patients with acute leukemia from January 2014 to December 2014 in our hospital were divided into the control group（n=69） and the experimental group（n=69）. The patients in the control group were given routing nursing. The patients in the experimental group were given holistic nursing intervention during bone marrow suppression period after chemotherapy, such as psychological nursing, basic nursing, fever nursing,infection care, Peripheral venipuncture care and prevention and control of bleeding and infection,etc. The adverse reactions in two groups were compared. Results During bone marrow suppression period after chemotherapy, the rate of fever, the rate of infection, the rate of bleeding in experimental group were lower than those in control group（P〈0.05）. After comprehensive nursing, these abovementioned cases all returned to normal and safely lived through bone marrow suppression. Conclusion For patients with acute leukemia after chemotherapy, holistic nursing intervention can effectively prevent adverse reaction during bone marrow suppression period, and help them to smoothly live through bone marrow suppression.