问题跟踪护理在造血干细胞移植期患者中的应用效果

Application effect of problem tracking nursing in patients with hematopoietic stem cell transplantation

目的探讨问题跟踪护理在造血干细胞移植期患者中的应用效果。方法选取2015年3月~2018年4月在我院行造血干细胞移植治疗的82例患者,采取完全随机分组方法将其分为对照组(41例)及观察组(41例)。两组患者分别实施常规护理干预及问题跟踪护理。比较两组患者的不良反应总发生率及护理满意度,同时采取焦虑自评量表(SAS)及抑郁自评量表(SDS)评价两组患者护理前后的负性情绪变化情况。结果护理前,两组的SAS、SDS评分比较,差异无统计学意义(P>0.05),护理后,两组的SAS、SDS评分低于同组护理前,差异有统计学意义(P<0.05),观察组护理后的SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者的不良反应总发生率为7.32%,低于对照组的26.83%,差异有统计学意义(P<0.05)。观察组患者的护理总满意度为95.12%,高于对照组的78.05%,差异有统计学意义(P<0.05)。结论问题跟踪护理干预能有效改善造血干细胞移植期患者的不良心理,规避其不良反应风险,提升护理满意度,对改善患者的预后具有积极影响,可在临床推广应用。

Objective To explore the application effect of problem-tracking nursing in patients with hematopoietic stem cell transplantation.Methods A total of 82 patients who underwent hematopoietic stem cell transplantation in our hospital from March 2015 to April 2018 were selected and they were divided into the control group (n=41) and observation group (n=41) using a randomized grouping method.Routine nursing intervention and problem-tracking nursing were performed in the control group and observation group respectively.The total incidence of adverse reactions and nursing satisfaction degree were compared between the two groups.The self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to evaluate the negative emotional changes before and after treatment in the two groups.Results There was no significant difference in SAS or SDS score between the two groups before nursing (P>0.05).The SAS and SDS scores of the two groups after nursing were lower than those of the same group before nursing with statistical significance (P<0.05).The scores of SAS and SDS after nursing intervention in the observation group were lower than those of the control group (P<0.05).The total incidence of adverse reactions was 7.32% in the observation group,which was lower than that in the control group accounting for 26.83% with a significant difference (P<0.05).The total satisfaction degree of nursing in the observation group was 95.12%,which was higher than that in the control group accounting for 78.05% with a significant difference (P<0.05).Conclusion The implementation of problem tracking nursing intervention can effectively improve the bad emotion of patients during hematopoietic stem cell transplantation,avoid the risk of adverse reactions,increase the nursing satisfaction,and have a positive impact on the prognosis improvement.Therefore,it can be promoted and applied in clinic.