首页|基于童趣化理念的舒缓疗护在血液肿瘤化疗患儿中的应用效果

基于童趣化理念的舒缓疗护在血液肿瘤化疗患儿中的应用效果

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目的:观察基于童趣化理念的舒缓疗护在血液肿瘤化疗患儿中的应用效果.方法:选取 2019-2021 年该院收治的 100 例血液肿瘤患儿进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各 50 例.化疗期间,对照组给予常规疗护,研究组在对照组基础上给予基于童趣化理念的舒缓疗护.比较两组干预后化疗依从性、干预前后症状感知度[中文版记忆症状评估简表(MSAS-SF)]评分、不良反应发生率及家长满意度.结果:干预后,研究组化疗依从性为 94.00%(47/50),高于对照组的 76.00%(38/50),差异有统计学意义(P<0.05);两组生理症状、心理症状等各项MSAS-SF评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率为 14.00%(7/50),低于对照组的 36.00%(18/50),差异有统计学意义(P<0.05);研究组家长满意度为 92.00%(47/50),高于对照组的 74.00%(37/50),差异有统计学意义(P<0.05).结论:基于童趣化理念的舒缓疗护应用于血液肿瘤化疗患儿,可提高其化疗依从性,降低症状感知度和不良反应发生率,进而提高家长满意度,效果优于常规疗护.
Application effects of soothing palliative care based on childlike concept in children with hematological malignancy chemotherapy
Objective:To observe application effects of soothing palliative care based on childlike concept in children with hematological malignancy chemotherapy.Methods:A prospective study was conducted on 100 children with hematological malignancies admitted to the hospital from 2019 to 2021.According to the random number table method,they were divided into control group and study group,50 cases in each group.During chemotherapy,the control group was given routine nursing,while the study group was given the soothing palliative care based on childlike concept on the basis of that of the control group.The chemotherapy compliance after the intervention,the symptom perception[Chinese version of memory symptom assessment-short form(MSAS-SF)]score before and after the intervention,the incidence of adverse reactions,and the parental satisfaction were compared between the two groups.Results:After the intervention,the chemotherapy compliance of the study group was 94.00%(47/50),which was higher than 76.00%(38/50)of the control group,and the difference was statistically significant(P<0.05).The MSAS-SF scores of physiological symptoms and psychological symptoms in the two groups were lower than those before nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 14.00%(7/50),which was lower than 36.00%(18/50)in the control group,and the difference was statistically significant(P<0.05).Further,the parental satisfaction in the study group was 92.00%(47/50),which was higher than 74.00%(37/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The smoothing palliative care based on the childlike concept in chemotherapy for the children with hematological malignancies can improve their chemotherapy compliance,reduce the symptom perception and the incidence of adverse reactions,and thus improve the parental nursing satisfaction.Moreover,it is superior to the routine nursing.

Childlike conceptSoothing palliative careHematological malignancyChemotherapyComplianceSymptom perceptionAdverse reaction

祝文金、张秀梅

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厦门大学附属第一医院儿科一区,福建 厦门 361001

童趣化理念 舒缓疗护 血液肿瘤 化疗 依从性 症状感知度 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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