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六西格玛护理专案管理对急性白血病患者的影响

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目的 探讨六西格玛护理专案管理对急性白血病患者化疗性口腔黏膜炎严重程度、生活质量及情绪的影响.方法 选取 2019 年 1 月—2021 年 12 月于江苏省泰兴市人民医院接受化疗治疗的 104 例急性白血病患者,按照组间基线资料均衡可比的原则将其分为对照组和观察组,每组 52 例.对照组采取常规化疗护理措施,观察组实施六西格玛护理专案干预方法.比较干预前、干预后(化疗后12 d)两组生活质量、不良情绪及化疗性口腔黏膜炎发生情况的差异.结果 干预后,观察组发生口腔黏膜炎者9例(17.31%),低于对照组的20例(38.46%),差异有统计学意义(P<0.05).干预前,两组患者正负性情绪量表(PANAS)、癌症患者生活质量测定量表(FACT-Leu)评分比较差异无统计学意义(P>0.05);干预后,观察组的正性情绪分数为 38.64±3.95 分,高于对照组 27.32±5.17 分,负性情绪分数为 14.64±4.93 分,低于对照组30.53±6.25 分,组间比较差异均有统计学意义(P<0.05).干预后,观察组生活质量各维度分数及总分均高于对照组,差异有统计学意义(P<0.05).结论 为急性白血病患者提供六西格玛护理专案管理口腔护理干预能缓解患者负性情绪,提高生活质量,有效降低化疗性口腔黏膜炎的发生率.
Impact of Six Sigma nursing project management on patients with acute leukemia
Objective To explore the impact of Six Sigma nursing project management on the severity of chemotherapy-induced oral mucositis,quality of life and emotions in patients with acute leukemia.Methods A total of 104 patients with acute leukemia who received chemotherapy at Taixing People's Hospital in Jiangsu Province from January 2019 to December 2021 were selected.According to the principle of balanced and comparable baseline data between the groups,they were divided into a control group and an observation group,with 52 patients in each group.The control group received routine chemotherapy nursing measures,while the observation group implemented Six Sigma nursing project intervention methods.The differences in quality of life,negative emotions,and the incidence of chemotherapy-induced oral mucositis between the two groups were compared before and after the intervention(12 days after chemotherapy).Results After the intervention,the oral mucositis patients in the observation group was 9 cases(17.31%),which was less than the 20 cases(38.46%)in the control group,the differences was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in Positive and Negative Affect Scale(PANAS)and Functional Assessment of Cancer Therapy-Leukemia(FACT-Leu)scores between the two groups(P>0.05).After the intervention,the positive emotion score in the observation group was 38.64±3.95 points,which was higher than the 27.32±5.17 points in the control group,while the negative emotion score in the observation group was 14.64±4.93 points,which was lower than the 30.53±6.25 points in the control group,the differences between the groups were statistically significant(P<0.05).After the intervention,the each dimension scores and total score of quality of life in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Providing oral care intervention based on Six Sigma nursing project management for patients with acute leukemia can alleviate negative emotions,improve quality of life,and effectively reduce the incidence of chemotherapy-induced oral mucositis.

Six Sigma theoryNursing projectAcute leukemiaOral nursingQuality of lifeBad moodOral mucositis

常媛、孔兴美、李军、叶蓉、胡一君

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泰兴市人民医院血液科(江苏省泰兴市,225400)

六西格玛理论 护理专案 急性白血病 口腔护理 生活质量 不良情绪 口腔黏膜炎

江苏大学2023年度医教协同创新基金一般项目

JDYY2023135

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(9)