延续性护理结合中医特色措施对白血病患儿化疗的影响

Effect of Transitional Nursing Combined with Chinese Medicine Characteristic Measures on Children with Leukemia Undergoing Chemotherapy

目的:研究结合中医特色措施的延续性护理对白血病患儿化疗后的影响。方法:将接受化疗并下达出院医嘱的65例白血病儿童患者进行前瞻性研究,将患儿根据随机数字表法分为研究组和对照组,对照组实行离院后常规护理指导,研究组实行结合了中医特色措施的延续性护理模式,2组均护理9个月。护理结束后通过出血减少、食欲改善、体质量增加、面色改善、乏力减缓5方面对2组患儿进行生活质量评价,根据焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组患儿的心理状况进行评价。结果:对比2组生活质量可知,研究组较对照组明显出血减少、食欲改善、体质量增加、面色改善、乏力减缓,且研究组生活质量总积分高于对照组,差异有统计学意义(P<0.05)。研究组患儿SAS总积分和SDS总积分明显低于对照组,差异有统计学意义(P<0.05)。结论:结合中医特色措施的延续性护理对白血病患儿化疗后疗效显著,生活质量和心理状态改善较好。

Objective:To study the effect of transitional nursing with combination of Chinese medicine characteristic measures on children with leukemia after chemotherapy.Methods:A total of 65 cases of children with leukemia who received chemotherapy and discharge order were prospectively studied,and were divided into the study group and the control group according to the random number table method.After discharge,the control group was given routine nursing guidance,and the study group was given transitional nursing with combination of Chinese medicine characteristic measures.The nursing in both groups lasted for nine months.After nursing,quality of life in the two groups was evaluated from five aspects,namely,decrease in hemorrhage volume,improvement in appetite,weight gain,improvement in complexion,and relief from lack of strength.Psychological status in the two groups was evaluated according to Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).Results:When compared quality of life between the two groups,decrease in hemorrhage volume,improvement in appetite,weight gain,improvement in complexion,and relief from lack of strength in the study group were more significant than those in the control group,and the total score of quality of life was higher,the difference being significant(P<0.05).The total scores of SAS and SDS in the study group were significantly lower than those in the control group,the difference being significant(P<0.05).Conclusion:Transitional nursing with combination of Chinese medicine characteristic measures has significant curative effect on children with leukemia after chemotherapy,and can better improve quality of life and psychological status.