集束化护理干预对慢性粒细胞白血病患者心理状态及生活质量的影响

Effects of cluster nursing intervention on psychological status and quality of life of patients with chronic myelogenous leukemia

目的探讨集束化护理干预对慢性粒细胞白血病患者心理状态及生活质量的影响。方法将96例慢性粒细胞白血病患者采用随机数字表法分为观察组和对照组，每组48例。对照组给予常规护理，观察组在常规护理基础上联合集束化护理干预。于干预前后采用生存质量问卷评价患者的生存质量，采用焦虑自评量表及抑郁自评量表评定患者的焦虑、抑郁情绪。结果干预后两组生存质量问卷各因子评分均显著高于干预前（P〈0．05或0．01），观察组较对照组升高更显著（P〈0．01）；两组焦虑自评量表及抑郁自评量表评分均显著低于干预前（P〈0．01），观察组较对照组下降更显著（P〈0．01）。结论集束化护理可明显提高慢性粒细胞白血病患者的生存质量，改善患者焦虑、抑郁情绪。

Objective To explore the effects of cluster nursing intervention on the psychological status and quality of life of patients with chronic myelogenous leukemia （CML）. Methods Ninety-six CML patients were divided into the observation and control group of 48 ones each according to random number table. Control group received routine nursing and the observation was plus cluster nursing intervention on the hasis of routine nursing. Before and after intervention qualities of life were assessed with the Quality of Life Core Questionnaire （QLQ） as well as anxious and depressive emotions with the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）. Results All factors scores of the QLQ of both groups were significantly higher after intervention compared with pre-intervention （P 〈0.05 or 0.01）, so were those in observation than in control group （P〈0. 01） ; the SAS and SDS scores of both groups were significantly lower after intervention compared with pre-intervention （P〈0.01）, so were those in observation than in control group （P〈0.01）. Conclusion Cluster nursing could notably boost the quality of life of patients with CML and improve anxious and depressive emotions.