个性化护理在改善淋巴瘤化疗后血小板减少症中的作用及安全性

The Role and Safety of Personalized Nursing in Improving Thrombocytopenia After Lymphoma Chemotherapy

目的探讨个性化护理在改善淋巴瘤化疗后血小板减少症中的作用及安全性。方法选取2019年11月-2021年9月我院收治的64例淋巴瘤化疗后血小板减少症患者为研究对象,按照随机数字表法分为对照组和观察组,各32例。对照组应用常规护理,观察组给予个性化护理,比较两组血小板计数(PLT)、PLT减少持续时间与达标时间、不良事件发生情况、生活质量核心量表(QLQ-C30)评分。结果两组护理后PLT高于护理前,且观察组高于对照组(P<0.05);观察组PLT减少持续时间与达标时间短于对照组(P<0.05);观察组不良事件发生率低于对照组(P<0.05);观察组护理后QLQ-C30功能、总体健康状况领域评分高于对照组,QLQ-C30症状评分低于对照组(P<0.05)。结论个性化护理可有效改善淋巴瘤化疗后血小板减少症患者的PLT水平,缩短PLT恢复时间,减少不良事件。

Objective To explore the role and safety of personalized nursing in improving thrombocytopenia after lymphoma chemotherapy.Methods A total of 64 patients with thrombocytopenia after chemotherapy for lymphoma admitted to our hospital from November 2019 to September 2021 were selected as the research objects and divided into control group and observation group according to the random number table method,with 32 patients in each group.The control group was given routine nursing,and the observation group was given individualized nursing.The platelet count(PLT),PLT reduction duration and standard time,adverse events,quality of life core scale(QLQ-C30)score were compared between the two groups.Results The PLT of the two groups after nursing was higher than that before nursing,and that in the observation group was higher than that in the control group(P<0.05).The duration of PLT reduction and the time of reaching the standard in the observation group were shorter than those in the control group(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group(P<0.05).After nursing,the scores of QLQ-C30 function and overall health status in the observation group were higher than those in the control group,and the scores of QLQ-C30 symptoms were lower than those in the control group(P<0.05).Conclusion Personalized nursing can effectively improve PLT level,shorten PLT recovery time and reduce adverse events in patients with thrombocytopenia after lymphoma chemotherapy.