摘要
目的 探讨优质干预对白血病患儿心理状态、生活质量及营养指标的影响。方法 根据干预方法的不同将196例白血病患儿分为常规组和优质干预组,每组98例,常规组患儿采取常规干预,优质干预组患儿采取优质干预。比较两组患儿的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[健康调查简表(SF-36)]、营养指标、家属满意度及不良反应发生情况。结果 干预后,两组患儿SAS、SDS评分均低于本组干预前,优质干预组患儿SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿SF-36各维度评分均高于本组干预前,优质干预组患儿SF-36各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿白蛋白、血红蛋白、前白蛋白水平均高于本组干预前,优质干预组患儿白蛋白、血红蛋白、前白蛋白水平均高于常规组,差异均有统计学意义(P﹤0.05)。优质干预组患儿家属满意度高于常规组,患儿不良反应总发生率低于常规组,差异均有统计学意义(P﹤0.05)。结论 对白血病患儿采取优质干预,可有效改善患儿心理状态和营养状况,提高生活质量和家属满意度。
Objective To investigate the effect of high-quality intervention on mental state,quality of life,and nutri-tional indicators of children with leukemia.Method A total of 196 children with leukemia were divided into routine group and high-quality intervention group according to different intervention methods,with 98 cases in each group.Chil-dren in the routine group received routine intervention,and children in the high-quality intervention group received high quality intervention.The mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[the MOS 36-item short form health survey(SF-36)],nutritional indicators,family satisfaction,and adverse events were compared between the two groups.Result After the intervention,the SAS and SDS scores in the two groups were lower than those before the intervention,and the scores in the high-quality intervention group were lower than those in the rou-tine group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of SF-36 in the two groups were higher than those before the intervention,and the scores in the high-quality intervention group were higher than those in the routine group,and the differences were statistically significant(P<0.05).After the in-tervention,the levels of albumin,hemoglobin,and prealbumin in the two groups were higher than those before the inter-vention,and the levels of foregoing indicators in the high-quality intervention group were higher than those in the routine group,and the differences were statistically significant(P<0.05).The satisfaction of family members in the high-quality intervention group was higher than that in the routine group,the total incidence of adverse events was lower than that in the routine group,and the differences were statistically significant(P<0.05).Conclusion High-quality intervention can effectively improve the mental state and nutritional status of children with leukemia,and improve the quality of life and family satisfaction.
作者
赵金环
尼晓丽
薛营
朱慧芳
ZHAO Jinhuan;NI Xiaoli;XUE Ying;ZHU Huifang(Department of Pediatric,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)
出处
《癌症进展》
2023年第14期1555-1558,共4页
Oncology Progress
关键词
白血病
优质干预
心理状态
生活质量
营养指标
leukemia
high-quality intervention
mental state
quality of life
nutritional indicator
