摘要
目的探讨以视频咨询为基础的延续护理在白血病患儿维持治疗期的应用效果。方法采用便利抽样法,选取2017年1月—2019年12月在宁波市妇女儿童医院接受治疗的维持期白血病患儿100例及其监护人为研究对象。采用随机数字表法分为对照组和干预组各50例。对照组采用常规延续护理,干预组实施以视频咨询为基础的延续护理。于干预前和干预3个月时分别采用问卷调查的形式比较两组患儿焦虑症状的差异,并于干预3个月时统计两组患儿治疗依从性和并发症发生率。结果干预后,干预组患儿分离焦虑、躯体伤害恐惧、社交恐惧、强迫冲动障碍、恐慌障碍、广泛性焦虑和焦虑症状总分均低于对照组,患儿治疗依从性良好率高于对照组(94.0%vs.76.0%),并发症发生率低于对照组(6.0%vs.22.0%),差异均具有统计学意义(P<0.05)。结论以视频咨询为基础的延续护理应用于白血病患儿维持治疗期,能改善患儿焦虑情绪,提高患儿治疗依从性,降低并发症发生率,值得临床推广。
Objective To explore the effect of continuous nursing based on video consultation in the maintenance treatment period of children with leukemia.Methods From January 2017 to December 2019,convenience sampling was used to select 100 children with leukemia in the maintenance period who were treated in Ningbo Women and Children's Hospital and their guardians as the research object.Using random number table method,children were divided into control group and intervention group,with 50 cases in each group.Control group used routine continuous nursing,and intervention group implemented continuous nursing based on video consultation.A questionnaire survey was conducted to compare the differences in anxiety symptoms between the two groups of children before and after the intervention for three months,and the treatment compliance and the incidence of complications of the two groups were counted at the time of the intervention for three months.Results After intervention,scores of separation anxiety,fear of physical injury,social phobia,obsessive-compulsive disorder,panic disorder,generalized anxiety and the total score of anxiety symptoms in intervention group were lower than those in control group.The treatment compliance of children in intervention group was higher than that in control group(94.0%vs.76.0%).The incidence of complications of children in intervention group was lower than that of control group(6.0%vs.22.0%).The differences were all statistically significant(P<0.05).Conclusions The application of continuous nursing based on video consultation in the maintenance treatment period of children with leukemia can improve children's anxiety and treatment compliance,and reduce the incidence of complications,which is worthy of clinical promotion.
作者
郎维雅
蔡雪亚
杨羽
Lang Weiya;Cai Xueya;Yang Yu(Department of Hematology,Ningbo Women and Children's Hospital,Zhejiang Province,Ningbo 315010,China)
出处
《中华现代护理杂志》
2021年第14期1902-1905,共4页
Chinese Journal of Modern Nursing
关键词
儿童
白血病
视频咨询
延续护理
维持治疗
焦虑
依从性
并发症
Child
Leukemia
Video consultation
Continuous nursing
Maintenance treatment
Anxiety
Compliance
Complications
