轨迹护理模式在神经母细胞瘤患儿临床护理中的应用价值

The Value of Trajectory Care Model in the Clinical Care of Children with Neuroblastoma

目的:探讨轨迹护理模式在神经母细胞瘤患儿护理中的应用价值。方法:选取2020年6月—2022年6月首都医科大学附属北京儿童医院收治的神经母细胞瘤患儿84例为观察对象,按照随机数字表法分为对照组与观察组,各42例。对照组给予常规护理干预,观察组在对照组基础上给予轨迹护理模式干预。比较两组患者依从性、疲乏程度和生活质量。结果:观察组患儿依从性高于对照组,差异有统计学意义(P=0.024);护理后,两组患儿一般疲乏、休息/睡眠疲乏、认知疲乏评分及总评分均降低,差异有统计学意义(P<0.05);观察组患儿一般疲乏、休息/睡眠疲乏、认知疲乏评分及总评分低于对照组,差异有统计学意义(P=0.000);护理后,两组患儿生理功能、情感功能、社交功能、学校表现评分及总评分均升高,观察组高于对照组,差异有统计学意义(P=0.000)。结论:实施轨迹护理模式可提高神经母细胞瘤患儿依从性,可减轻疲乏程度,改善生活质量。

Objective:To explore the application value of the trajectory care model in the care of children with neuroblastoma.Methods:Eighty-four cases of children with neuroblastoma admitted to Beijing Children's Hospital,Capital Medical University,from June 2020 to June 2022 were selected as observation subjects and divided into control group and observation group according to the random number table method,with forty-two cases each.The control group was given conventional nursing intervention,and the observation group was given trajectory care model intervention on the basis of the control group.The compliance,fatigue and quality of life of the patients in the two groups were compared.Results:The compliance of the children in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.024).After care,the general fatigue,rest/sleep fatigue,cognitive fatigue scores and total scores of children in both groups were reduced,and the difference was statistically significant(P<0.05).In the observation group,the general fatigue,rest/sleep fatigue,cognitive fatigue scores and total scores were lower than those in the control group,and the difference was statistically significant(P=0.000).After care,physical function,emotional function,social function,school performance scores and total scores of children in both groups increased,and the observation group was higher than the control group,and the difference was statistically significant(P=0.000).Conclusion:Implementation of the trajectory care model can improve the compliance of children with neuroblastoma,reduce fatigue and improve quality of life.