全程优质护理在白血病患儿中的应用

摘要

Objective To explore the application and effect of whole-course high-quality nursing on children with leukemia.Methods Totals of 65 leukemia(40 male,25 female) with age between 1 and 16.5 years old(mean age 9.2 years old) were recruited and randomly divided into control group (n =30) that received the conventional nursing and observational group (n =35) that received the whole-courses high quality nursing.Then,the cure compliance,infection incidence,hospitalization expense,and satisfaction degree of parents of leukemia children were observed between the two group.Results Compared with control group,among observational group,the cure compliance of patients and their parents was higher (86.8％ vs 68.8％),satisfaction degree of parents was improved (93.1％ vs 81.1％),hospitalization expense was lower [ (8.20 ±3.0) ten thousand (￥)vs (10.6±3.8) ten thousand (￥) ],the hospital infection rate and the infection rate of respiratory tract and lungs,oral and digestive tract,venipuncture sites were lower (46.8 ％ vs 80.5％,24.0％ vs 42.7％,8.0％ vs 15.5％,8.0％ vs 15.5％),and the differences were statistically significant (x2 =43.70,14.04,4.06,4.06;P ＜ 0.05).Temperature and C-reactire protein in observational group was obvicusly less than control group(15.43％ vs 53.33％,16.57％ vs 75.00％),and the difference was statistically significant (x2 =56.30,120.28 ; P ＜ 0.01).Conclusions Application of whole-course high-quality nursing can improve the cure compliance of patients and parents,improve their satisfaction degree,reduce the hospitalization costs and incidence of complications,promote the rehabilitation of children with leukemia.%目的 探讨全程优质护理在儿童白血病的应用及效果.方法 选取广东省惠州市中心人民医院2007年1月至2011年12月确诊为白血病的患儿65例,其中男40例,女25例.年龄1～16.5岁,平均年龄9.2岁.对照组(30例)给予常规护理,观察组(35例)应用全程优质护理措施,比较两组患儿治疗依从性、合并感染情况、住院费用及患儿家长满意度情况.结果 观察组患儿及家长对医疗护理的依从性(86.8％)高于对照组(68.8％),患儿及家长满意度明显增加(93.1％比81.1％)；住院费用明显减少[(8.20±3.0)万元比(10.6±3.8)万元],两组比较,差异均有统计学意义(x2/t分别为16.56,11.39,6.67;P ＜0.05).观察组患儿住院感染发生率(46.8％)、呼吸道及肺部(24.0％)、口腔及消化道(8.0％)及静脉穿刺部位感染(8.0％)发生率均低于对照组(80.5％,42.7％,15.5％,15.5％),两组比较,差异均有统计学意义(x2分别为43.70,14.04,4.06,4.06;P ＜0.05).观察组患儿住院期间体温及C反应蛋白升高的发生率明显低于对照组(分别为15.43％比53.33％,16.57％比75.00％),两组比较,差异有统计学意义(x2分别为56.30,120.28;P ＜0.01).结论 全程优质护理能提高患儿及家长对医疗护理的依从性、增加家长的满意度,降低住院费用,减少并发症发生,促进患者康复.