临床护理路径在急性白血病患者化疗中的运用效果研究(1)
[摘要] 目的 探討对急性白血病患者采用临床护理路径配合完成疾病化疗后获得应用效果。方法 方便选取该院2017年5月—2020年1月收治的114例急性白血病患者数字奇偶法分组;护理组(57例)：采用基础护理+临床护理路径展开白血病化疗护理;对照组(57例)：采用基础护理展开白血病化疗护理;就组间癌因性疲乏评分、化疗不良反应数据、各领域生活质量评分数据展开对比。结果 护理前，护理组急性白血病患者癌因性疲乏评分(75.13±11.35)分同对照组(76.49±12.46)分比较差异无统计学意义(t=0.609，P>0.05);护理后，护理组癌因性疲乏评分(13.62±2.49)分低于对照组(39.59±6.43)分明显(t=28.435，P<0.05);两组患者化疗过程中不良反应主要体现为感染、出血、静脉炎、口腔黏膜炎以及呕吐恶心几方面;最终发现护理组急性白血病患者总化疗不良反应发生率(8.77%)低于对照组(29.82%)明显(χ2=8.111，P<0.05);护理组急性白血病患者生理领域(16.85±4.79)分、心理领域(17.89±5.62)分、环境领域(18.55±6.85)分、社会领域(17.25±5.65)分、总评分(55.95±12.35)均高于对照组(12.26±2.62)分、(13.65±4.52)分、(14.29±3.75)分、(13.59±3.90)分、(47.66±10.43)分明显(t=6.347、4.438、4.118、4.025、3.872，P<0.001)。结论 临床护理路径方式有效运用，可使得急性白血病患者化疗安全性显著提升，并同时将患者癌因性疲乏程度显著缓解，将其生活质量提升，最终实现急性白血病患者有效预后。
[关键词] 临床护理路径;急性白血病;效果
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(c)-0114-03
[Abstract] Objective To explore the application effect of clinical care for patients with acute leukemia and the completion of chemotherapy. Methods 114 cases of acute leukemia patients conveniently selected to the hospital from May 2017 to January 2020 were divided into groups by digital parity; nursing group (57 cases)： basic nursing + clinical nursing path for leukemia chemotherapy care; control group (57 cases)： carry out leukemia chemotherapy care with basic care; compare the cancer-related fatigue score， chemotherapy adverse reaction data， and quality of life score data in various fields between groups. Results Before nursing， the cancer-related fatigue score (75.13±11.35) points of acute leukemia patients in the nursing group was not significantly different from the control group (76.49±12.46)points (t=0.609，P>0.05); after nursing， the nursing group had cancer due to fatigue (13.62±2.49)points was significantly lower than that of the control group (39.59±6.43) points(t=28.435，P<0.05); the adverse reactions during chemotherapy of the two groups were mainly manifested in infection， bleeding， phlebitis， oral cavity Mucositis and vomiting and nausea; it was finally found that the incidence of adverse chemotherapy reactions in patients with acute leukemia in the nursing group (8.77%) was significantly lower than that in the control group (29.82%)(χ2=8.111，P<0.05); the physiology area of acute leukemia patients in the nursing group (16.85±4.79)points， psychological area (17.89±5.62)points， environmental area (18.55±6.85)points， social area (17.25±5.65)points， total score (55.95±12.35)points， all higher than the control group (12.26±2.62)points， (13.65±4.52)points， (14.29±3.75)points， (13.59±3.90) points， (47.66±10.43) points， being obvious (t=6.347，4.438，4.118，4.025，3.872，P<0.001). Conclusion The effective use of clinical care pathways can significantly improve the chemotherapy safety of patients with acute leukemia， and at the same time significantly alleviate the degree of cancer-related fatigue of patients， improve their quality of life， and ultimately achieve an effective prognosis for patients with acute leukemia., 百拇医药(张燕)
[关键词] 临床护理路径;急性白血病;效果
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)10(c)-0114-03
[Abstract] Objective To explore the application effect of clinical care for patients with acute leukemia and the completion of chemotherapy. Methods 114 cases of acute leukemia patients conveniently selected to the hospital from May 2017 to January 2020 were divided into groups by digital parity; nursing group (57 cases)： basic nursing + clinical nursing path for leukemia chemotherapy care; control group (57 cases)： carry out leukemia chemotherapy care with basic care; compare the cancer-related fatigue score， chemotherapy adverse reaction data， and quality of life score data in various fields between groups. Results Before nursing， the cancer-related fatigue score (75.13±11.35) points of acute leukemia patients in the nursing group was not significantly different from the control group (76.49±12.46)points (t=0.609，P>0.05); after nursing， the nursing group had cancer due to fatigue (13.62±2.49)points was significantly lower than that of the control group (39.59±6.43) points(t=28.435，P<0.05); the adverse reactions during chemotherapy of the two groups were mainly manifested in infection， bleeding， phlebitis， oral cavity Mucositis and vomiting and nausea; it was finally found that the incidence of adverse chemotherapy reactions in patients with acute leukemia in the nursing group (8.77%) was significantly lower than that in the control group (29.82%)(χ2=8.111，P<0.05); the physiology area of acute leukemia patients in the nursing group (16.85±4.79)points， psychological area (17.89±5.62)points， environmental area (18.55±6.85)points， social area (17.25±5.65)points， total score (55.95±12.35)points， all higher than the control group (12.26±2.62)points， (13.65±4.52)points， (14.29±3.75)points， (13.59±3.90) points， (47.66±10.43) points， being obvious (t=6.347，4.438，4.118，4.025，3.872，P<0.001). Conclusion The effective use of clinical care pathways can significantly improve the chemotherapy safety of patients with acute leukemia， and at the same time significantly alleviate the degree of cancer-related fatigue of patients， improve their quality of life， and ultimately achieve an effective prognosis for patients with acute leukemia., 百拇医药(张燕)