学龄期急性白血病患儿腰椎穿刺期间护理需求的调查分析

The investigation of nursing needs of school-aged children underwent lumbar puncture with Acute Leukemia

目的:调查学龄期白血病患儿腰椎穿刺期间的护理需求现状,并分析其主要影响因素。方法:选取216例行腰椎穿刺的学龄期白血病患儿作为调查对象,利用自制调查表进行调查,并对结果进行分析。结果:本组患儿对腰椎穿刺期间护理工作的总体需求得分是(124.37±14.27)分,信息需求、沟通需求、尊重需求、舒适需求及自我实现需求得分分别为(36.30±8.71)分、(34.99±4.13)分、(18.38±1.43)分、(17.94±1.92)分、(16.76±2.42)分;多元线性回归分析显示,影响学龄期白血病患儿腰椎穿刺护理需求的主要因素有腰椎穿刺次数、患儿性别、年龄及照顾者性别。结论:学龄期白血病患儿对腰椎穿刺护理需求迫切,需求内容广泛,临床护理人员应以其护理需求为导向,针对不同性别、年龄、腰椎穿刺次数及照顾者的患儿采取个体化的干预措施,最终提高患儿的就医体验和对护理工作的满意度。

Objective： To investigate the nursing needs of school-aged children underwent Lumbar Puncture （LP） with Acute Leukemia （AL） and the main influencing factors. Methods： A total of 216 school-aged children with Acute Leukemia （AL） were enrolled. A structured questionnaire was used to survey. Results： The overall score of nursing needs was （124.37±14.27）. The scores of information needs, communication needs, esteem needs, comfort needs, and self-actualization needs were （36.30±8.71）, （34.99±4.13）, （18.38±1.43）, （17.94±1.92）, （16.76±2.42）, respectively. The result of multiple linear regression showed that nursing needs of school-aged children underwent LP with AL were influenced by the amount of lumbar punctures, gender, age and caregivers. Conclusion： Clinical nursing staff should address the gaps in meeting patients＇ needs, and eventually improve patients＇ quality of life.