摘要
目的：提高血液病人的生活质量。方法：采取对患者进行心理指导、饮食指导、休息指导、活动指导、家庭护理技术培训，于开展家庭护理前后6个月以焦虑自评量表(SAS)、微量营养评估(MNA分级)对102例患者生活质量进行评定。结果：家庭护理前后对比，102例患者的焦虑自评分从53±4.25分降至36.0±4.67分，微量营养评估分数（MNA分级）由17.5±2.15分升至18.4±1.75分,参与前后比较差异均有统计学意义（P均<0.001）；悲观绝望、极度焦虑的患者减少，营养不良的患者营养得到改善，体重逐渐恢复，愿意配合治疗、勇于面对生活的患者比例上升，害怕药物反应而不愿化疗的患者减少，对健康教育满意度从52%升至92%。结论：家庭护理减缓了患者及家属的焦虑，调动了患者及其家人的主动性，改善了患者的营养，提高了患者的生活质量。
Abstract
Objective:?To evaluate the quality of life in patients with hematologic malignancies.?Methods:??102 patients with hematologic malignancies received guidance in the aspects of psychology, diet, rest, activities and home care technology. Before and six months after treatment , life quality was evaluated by questionnaire of self-rating anxiety scale (SAS) and Micro nutrition assessment (MNA classification). Results:?The questionnaire score of self-rating anxiety scale in patients with hematologic malignancies was significantly increased from (8.4±1.75) to (36.0± 4.67) and Micro nutrition assessment (MNA classification) was improved from (17.5±2.15) to (18.4±1.75) after family nursing for six months (both <0.001). Pessimism, extreme anxiety in patients with reduced and malnourished patients nutrition improved, weight gradually restored, willing to cooperate with the treatment, courage to face the rising proportion of patients with life, fear responses to drugs and unwilling to chemotherapy in patients with reduced, to the satisfaction of health education from 52% to 92% . Conclusion:?Family nursing slow down the anxiety for Patient and the Dependents, mobilize the initiative of patients and their families, Improved patient nutrition , reduced the malnutrition of patients and improved the quality of life of patients.
NETL
NSTL
维普
万方数据