摘要
目的:探讨以措施分类为基础的护理模式在急性髓系白血病缓解后化疗患者中的应用效果。方法:选取2017年5月1日~2019年8月31日收治的80例急性髓系白血病缓解后化疗患者为研究对象,随机分为对照组38例和观察组42例,对照组给予急性髓系白血病缓解后化疗常规护理,观察组给予以措施分类为基础的护理模式;比较两组生活质量[采用健康调查简表(SF-36)]、心理疲乏状态[采用癌因性疲乏量表(CFS)]、睡眠质量[采用匹兹堡睡眠质量指数量表(PSQI)]及不良反应发生情况。结果:干预后,观察组SF-36评分高于对照组(P<0.01);干预后,观察组CFS中躯体疲乏、认知疲乏、情感疲乏评分低于对照组(P<0.01);观察组发热、口腔感染、胃肠道反应发生率低于对照组(P<0.01);观察组PSQI中睡眠质量、入睡时间、睡眠时间、睡眠效率优于对照组(P<0.01)。结论:对急性白血病缓解后患者给予以措施分类为基础的护理模式,可提升患者生活质量、睡眠质量,改善心理疲乏状态,减少不良反应的发生。
Objective:To explore the effect of nursing model based on measure classification in patients undergoing chemotherapy after remission of acute myeloid leukemia.Methods:A total of 80 patients with chemotherapy after remission of acute myeloidleukemia admitted during May 1,2017 to August 31,2019 were selected as the research subjects,were randomly divided into the control group with 38 cases and the observation group with 42 cases.The control group was given routine chemotherapy intervention after remission of acutemyeloid leukemia,while the observation group was given measure classification-based nursing model.Quality of life by SF-36,cancer-related fatigue by CFS,sleep quality by Pittsburgh Sleep Quality Index(PSQI)and complications were compared in the two groups of patients.Results:After intervention,the SF-36 scores in the observation group were higher than those in the control group(P<0.01).After intervention,the physical fatigue,cognitive fatigue and emotional fatigue scores of CFS in the observation group were lower than those in the control group(P<0.01).The incidence rates of fever,oral infection and gastrointestinal reactions were lower in the observation group than those in the control group(P<0.01).The sleep quality,time to fall asleep,sleep time and sleep efficiency of PSQI in the observation group were better than those in the control group(P<0.01).Conclusion:Measure classification-based nursing model for patients after remission of acutemyeloid leukemia can enhance the quality of life and sleep quality,relieve the cancer-related fatigue and reduce the incidence of side effects.
作者
徐燕欢
刘春梅
黄喜离
高冠论
Xu Yanhuan;Liu Chunmei;Huang Xili(Guangzhou Red Cross Hospital,Guangzhou Guangdong 510220,China)
出处
《齐鲁护理杂志》
2022年第9期14-17,共4页
Journal of Qilu Nursing
关键词
以措施分类为基础
急性髓系白血病
癌因性疲乏
不良反应
睡眠质量
Based on measure classification
Acute myeloid leukemia
Cancer-related fatigue
Side effects
Sleep quality
