优质护理在难治性特发性血小板减少性紫癜脾动脉超选择栓塞术中的应用

Application of high quality nursing care for splenic artery super select embolization treating refractory idiopathic thrombocytopenic purpura

目的探讨难治性特发性血小板减少性紫癜（ITP）的脾动脉超选择栓塞术的护理效果。方法选取阳江市人民医院2013年1月-2015年12月收治的难治性ITP并行脾动脉超选择栓塞术治疗患者80例,根据护理干预方法不同分为两组,每组各40例。对照组给予常规治疗,观察组在常规护理基础上给予优质护理,采用应用自我护理能力测定量表（ESCA）和简明健康测量量表（SF-36）对护理效果进行评价。结果两组患者干预前自我能力总分、自我概念、自我责任感、自我护理技能、健康知识水平等自我护理能力得分比较,差异无统计学意义（P〉0.05）;观察组患者干预后自我能力总分、自我概念、自我责任感、自我护理技能、健康知识水平等自我护理能力得分与对照组干预后比较,差异均有统计学意义（P〈0.05）。两组患者干预前SF-36得分比较,差异无统计学意义（P〉0.05）;观察组患者干预后SF-36得分与对照组干预后比较,差异均有统计学意义（P〈0.05）。结论优质护理干预在难治性ITP的脾动脉超选择栓塞术前后的运用效果良好,可以有效改善护理效果,值得在临床诊疗中推广应用。

Objective To study the effect of high quality nursing care for splenic artery super select embolization treating refractory idiopathic thrombocytopenic purpura Methods From January 2013 to December 2015, in Yangjiang People＇s Hospital, 80 cases refractory ITP patients underwent splenic artery super select embolization were selected, according to different nursing intervention methods, they were divided into two groups, with 40 cases in each group. Control group was given conventional treatment, observation group was given high quality nursing care on the basis of conventional nursing care, the scale was evaluated by application of exercise of self-care ageney scale（ESCA） and short form 36 health survey questionmaire（SF-36） was evaluated the effect of nursing. Results Before intervention, self ability score, self-concept, self responsibility, self-care skill, health knowledge level and self-care ability score of patients in two groups were compared, the differences were not statistically significant（P〉0.05）; after the intervention, self ability score after the intervention, self-concept, personal responsibility, self care skills, health knowledge level and self-care ability score of patients in observation group were compared with control group, the differences were statistically significant（P〈0.05）. Before intervention, SF-36 points of patients in two groups were compared, the differences were not statistically significant（P〉0.05）; after the intervention, SF-36 points of patients in observation group were compared with control group, the differences were statistically significant（P〈0.05）. Conclusion The effect of high quality nursing intervention in super selection of splenic artery super select embolization treating refractory ITP is good,it can effectively improve the nursing effect, and it is worthy of popularization and application in the clinical diagnosis and treatment.