延续护理在出院后诱导期PICC置管急性白血病患儿中的应用效果

Effects of continual nursing on quality of life and parental care ability for acute leukemia children with PICC in remission induction stage after discharge

目的探讨延续护理缓解出院后诱导期PICC置管急性白血病患儿的应用效果。方法选择2014年7月2016年12月行PICC置管化疗的102例缓解诱导期白血病患儿为研究对象,根据随机数字表法分为研究组(52例)和对照组(50例),对照组在出院时进行常规指导,研究组给予延续护理,即出院前进行患儿及家长同步健康教育、出院后家庭访视、借助微信平台管理患儿、团体讲座与心理支持等。比较3个月后两组患儿家长自我护理能力和负性情绪、患儿生活质量改善情况,PICC置管期间并发症和置管时间。结果研究组患儿家长出院3个月自我护理能力,焦虑和抑郁等负性情绪、生活质量改善情况优于对照组,置管时间多于对照组,总并发症发生率低于对照组(均P<0.05),两组比较,差异具有统计学意义。结论延续护理能改善PICC置管白血病患儿出院后家长负性情绪、自我护理能力,减少置管并发症,延长置管时间,提高患儿生活质量。

Objective To observe the effects of continuous care on acute leukemia（AL） children with PICC in remission induction stage after discharge from hospital. Methods 102 AL children with PICC during July 2014 and December 2016 were enrolled and then were randomly divided into study group（n =52） and control group（n =50）： the control group was given routine discharge guidance, and the study group received continuous care, which contained synchronous health education to children and parents before discharge, home visits, patient management through We Chat platform and lectures and psychological support. The parental care ability and quality of life of children after 3 months were evaluated, and PICC complications were recorded during intubation. Result The self-care ability, negative emotions like anxiety and depression and quality of life in the study group were all significantly improved as compared with the control group and the time for intubation was shorter and the total rate of complications lower as well（P〈0.05）. Conclusion Continuous nursing can significantly improve the parental self-care ability of the AL children with PICC after discharge, reduce complications from intubation and improve their quality of life and help to improve parent＇s the negative emotions.