个性化健康教育联合肌肉放松疗法对急性白血病的护理效果及对患者睡眠质量的影响

Effect of Individualized Health Education Combined with Muscle Relaxation Therapy in Acute Leukemia Nursing

目的:观察急性白血病患者采取个性化健康教育联合肌肉放松疗法的效果及对睡眠质量的影响。方法:选取2019年8月至2021年8月福建医科大学附属协和医院收住院的急性白血病患者82例作为研究对象,按照随机数字表法随机分为观察组和对照组,剔除脱落病例4例,每组39例。对照组患者辅以个性化健康教育,观察组患者在对照组合理的基础上辅以肌肉放松疗法,比较2组依从性、睡眠质量及满意度等护理效果。结果:干预后,观察组依从性(合理用药、按时化疗及科学锻炼等)明显高于对照组;观察组PSQI评分低于对照组;观察组知识知晓率与满意度均比对照组高;观察组SAS(焦虑自评表)、SDS(抑郁自评表)评分低于对照组,观察组躯体功能、社会功能与物质生活分值均高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:对急性白血病患者护理采取个性化健康教育联合肌肉放松法护理效果确切,可提高患者依从性及疾病认知,且在纾解不良情绪、改善睡眠质量及优化预后水平等方面具促进作用,值得推广应用。

Objective:To analyze and observe the effect of personalized health education combined with muscle relaxation therapy in acute leukemia nursing and its correlation with sleep quality.Methods:From August 2019 to August 2021,82 hospitalized patients with acute leukemia were randomly divided into observation group and control group according to the random number table.4cases of shedding cases were excluded.39 cases in the control group were supplemented by personalized health education.Based on this,39 cases in the observation group were supplemented by muscle relaxation therapy.The effects of the two groups were compared,such as medical compliance behavior,sleep quality and satisfaction.Results:compliance behavior:compared with the control group,the compliance behavior of the observation group(rational drug use,timely chemotherapy and scientific exercise) was significantly higher(P<0.05).Sleep quality:the PSQI score of the observation group was lower than that of the control group(P<0.05).Knowledge awareness rate and satisfaction:the knowledge awareness rate and satisfaction of the observation group were higher than that of the control group(P<0.05).Bad psychology:compared with the control group,SAS(self rating Anxiety Scale)and SDS(self rating Depression Scale) in the observation group were lower(P<0.05).Quality of life:the scores of physical function,social function and material life in the observation group were higher than those in the control group(P<0.05).Conclusion:Individualized health education combined with muscle relaxation in acute leukemia nursing is accurate,which can improve patients’ compliance and disease cognition,and play a promoting role in relieving bad mood,improving sleep quality and optimizing prognosis.It is worth popularizing.