摘要
目的探讨整体护理合并重点部位护理预防白血病患者化疗期间感染的效果。方法将2008年4月至2013年4月收治的190例患者按就诊时间分为对照组和试验组,对照组采用白血病化疗传统护理,试验组采用整体护理合并重点部位护理。比较两组患者的感染率、感染部位和焦虑量表(SAS)评分。结果对照组患者总感染率显著高于试验组,分别为26.31%和9.47%,差异有统计学意义(P<0.05)。两组患者感染率最高的部位为呼吸道,其次为口腔、胃肠道和肛周。对照组各部位感染率均显著高于试验组(P<0.05)。SAS评分显示,对照组患者焦虑程度显著高于试验组(P<0.05)。结论整体护理合并重点部位护理能够显著降低白血病化疗患者的感染率,减轻患者身心痛苦,提高患者的生活质量,值得临床推广。
Objective To investigate infection prevention effectiveness of key parts and the overall care for leukemia patients treated with chemotherapy. Methods To divided 190 patients with leukemia treated in department of hematology of our hospital from April 2008 to April 2013 into control group and observation group according to their treatment chronological order. The control group were given conventional care and the observation group were given key parts care combined with overall care. Infection rates, the site of infection and sas anxiety scale score of two groups were compared. Results The overall infection rate of the control group was significantly higher than that of the observation group, the infection rate of the two groups were 26. 31% and 9.47% respectively, and the difference between two groups was statistically significant （P 〈 0.05）. The most susceptible part of patients was the respiratory tract, followed by the oral , gastroin- testinal duct and perianal. The infection rate of various parts in control group were significantly higher than the observation group （P 〈 0. 05）. The sas anxiety scores of control group was significantly higher than that of the observation group （P 〈 0.05 ）. Conclusion The key parts care combined with overall care can significantly reduce the rate of infection in leukemia patients treated with chemotherapy , decrease the physical and mental suffering, improve the quality of life of patient, and is worthy of wide application.
出处
《中国肿瘤临床与康复》
2014年第6期763-765,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
白血病
药物疗法
护理
感染
综合预防
Leukemia
Drug therapy
Nursing
Infection
Universal precautions
