摘要
目的:探讨综合护理干预对肿瘤患者正常剂量联合多次化疗后骨髓抑制的影响。方法:选择2016年1月~2017年5月我院收治的肿瘤患者正常剂量联合多次化疗后(4级)骨髓抑制60例作为观察对象,给予精心的治疗护理。比较护理前后白细胞、中性粒细胞、血红蛋白及血小板水平;采用焦虑自评量表(SAS)评定护理前后患者心理状况。结果:护理干预后患者白细胞、中性粒细胞、血红蛋白及血小板水平均明显高于护理干预前,差异有统计学意义(P<0.05);护理干预后的SAS评分为(52.31±10.85)分,与干预前的(69.06±13.52)分比较显著降低,差异有统计学意义(P<0.05)。结论:化疗后出现骨髓抑制的肿瘤患者,在化疗过程中给予针对性的综合护理干预,有助于缓解患者心理状况,帮助患者顺利度过骨髓抑制期。
Objective： To explore the effect of comprehensive nursing intervention on bone marrow suppression after normal dose combined with multiple chemotherapy in patients with tumor. Methods： A total of 60 patients with bone marrow suppression（ level 4） treated with normal dose combined with multiple chemotherapy in our hospital from January 2016 to May 2017 were selected as the objects of observation and treated with elaborate nursing. The levels of WBC,neutrophil,hemoglobin and platelet were compared before and after nursing; the psychological status of patients was evaluated by Self-rating Anxiety Scale（ SAS） before and after nursing. Results： After nursing intervention,the levels of WBC,neutrophil,hemoglobin and platelet were significantly higher than those before nursing intervention,and the difference was statistically significant（ P 〈 0. 05）. After nursing intervention,the SAS score（ 52. 31 ± 10. 85） was significantly lower than that before intervention（ 69. 06 ± 13. 52） and the difference was statistically significant（ P 〈 0. 05）. Conclusion： Targeted comprehensive nursing intervention on patients with bone marrow tumor suppression during chemotherapy is conductive to easing the psychological status of patients and can help patients pass the bone marrow suppression period successfully.
出处
《护理实践与研究》
2017年第21期106-108,共3页
Nursing Practice and Research
关键词
综合护理
化疗
恶性肿瘤
骨髓抑制
Comprehensive nursing
Chemotherapy
Malignant tumor
Myelosuppression
