基于个案分析的针对性护理结合健康教育在白血病骨髓抑制期患者肛周感染发热中的应用效果及对并发症的影响分析

Application Effect of Targeted Nursing Combined with Health Education Based on Case Analysis in Perianal Infection Fever of Leukemia Patients in Bone Marrow Suppression Stage and Influence Analysis on Complications

目的:探析急性白血病(AL)骨髓抑制期患者应用基于个案分析的针对性护理结合健康教育临床效果及对预防肛周感染发热效果,确保健康教育针对性及个体差异性,更符合患者临床护理需求。方法:选取2019年6月-2021年3月南阳医学高等专科学校第一附属医院血液肿瘤科就诊的100例骨髓抑制期AL患者作为研究对象。按照护理方案不同将患者分为对照组和观察组,每组各50例。对照组实施常规护理及健康教育,观察组实施基于个案分析的针对性护理联合健康教育,对比两组患者生活质量(QLICP-LE)、健康教育效果、肛周感染发热事件发生率。结果:观察组生活质量(QLICPLE评分)、知识、信念、行为健康教育评分均明显高于对照组,差异有统计学意义(t=3.390、5.797、6.413、8.936,P<0.05),且观察组肛周感染发热事件发生率明显低于对照组,差异有统计学意义(χ^(2)=4.167,P<0.05)。结论:基于个案分析的针对性护理结合健康教育应用于骨髓抑制期AL临床效果显著,可有效提高患者生活质量及健康教育效果,预防肛周感染发热事件发生。

Objective:To explore the application of case-based analysis of targeted nursing care in patients with acute leukemia(AL)myelosuppression combined with the clinical effect of health education and the effect on the prevention of perianal infection fever,to ensure that health education is targeted and individualized to better meet the clinical care needs of patients.Methods:100 patients with AL in the myelosuppressed phase attending the hospital from June 2019 to March 2021 were selected as study subjects,and the patients were divided into control and observation groups according to different care regimens,with 50 cases in each group.The control group implemented conventional care and health education,and the observation group implemented targeted care combined with health education based on case analysis.The quality of life(QLICP-LE),the effect of health education,and the incidence of febrile events of perianal infection were compared between the two groups.Results:The quality of life(QLICP-LE score),knowledge,beliefs,and behavioral health education scores were significantly higher in the observation group than in the control group,with statistically significant differences(t=3.390,5.797,6.413,8.936,P<0.05).The incidence of febrile events of perianal infection in the observation group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.167,P<0.05).Conclusion:The application of case study-based targeted care combined with health education in myelosuppression phase AL is clinically effective,which can effectively improve patients’quality of life and health education effect and prevent the occurrence of perianal infections and fever events.