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    邢香芹, 唐若莹, 王二洁, 胡娟, 夏小飞. 基于感染风险评估分层的针对性护理对急性白血病化疗病人感染预防及生活质量的影响[J]. 蚌埠医科大学学报, 2023, 48(9): 1282-1285. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.024
    引用本文: 邢香芹, 唐若莹, 王二洁, 胡娟, 夏小飞. 基于感染风险评估分层的针对性护理对急性白血病化疗病人感染预防及生活质量的影响[J]. 蚌埠医科大学学报, 2023, 48(9): 1282-1285. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.024
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    XING Xiang-qin, TANG Ruo-ying, WANG Er-jie, HU Juan, XIA Xiao-fei. Effect of targeted nursing based on infection risk assessment stratification on infection prevention and quality of life in patients with acute leukemia undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(9): 1282-1285. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.024
    Citation: XING Xiang-qin, TANG Ruo-ying, WANG Er-jie, HU Juan, XIA Xiao-fei. Effect of targeted nursing based on infection risk assessment stratification on infection prevention and quality of life in patients with acute leukemia undergoing chemotherapy[J]. Journal of Bengbu Medical University, 2023, 48(9): 1282-1285. DOI: 10.13898/j.cnki.issn.1000-2200.2023.09.024
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    基于感染风险评估分层的针对性护理对急性白血病化疗病人感染预防及生活质量的影响

    Effect of targeted nursing based on infection risk assessment stratification on infection prevention and quality of life in patients with acute leukemia undergoing chemotherapy

      摘要
    • 摘要:
      目的探究基于感染风险评估分层的针对性护理对急性白血病化疗病人感染预防及生活质量的影响。
      方法将61例急性白血病化疗病人随机分为观察组(n=31)和对照组(n=30)，对照组给予化疗后常规护理，观察组在对照组基础上实施基于感染风险评估分层给予针对性预防及强化感染护理，分组干预2周，比较2组病人感染预防情况以及生活质量的变化。
      结果分组护理后，观察组化疗期间感染发生率低于对照组(25.81% vs 53.33%，P < 0.05)；护理干预前，2组病人的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异均无统计学意义(P>0.05)，护理干预后2组病人的SAS、SDS评分均降低(P < 0.05)，且观察组评分低于对照组(P < 0.05)；护理干预后，观察组的WHOQOL-BREF各维度评分均优于对照组(P < 0.05~P < 0.01)。
      结论基于感染风险评估分层的针对性护理可显著降低急性白血病化疗病人的感染发生率，改善病人心理状态，提高病人生活质量，值得临床推广。

       

      Abstract:
      ObjectiveTo explore the effect of targeted nursing based on infection risk assessment stratification on infection prevention and quality of life in patients with acute leukemia undergoing chemotherapy.
      MethodsSixty-one patients with acute leukemia treated were selected and randomly divided into the observation group (n=31) and control group (n=30).The control group was given routine care after chemotherapy, while the observation group was given the targeted prevention and enhanced infection care based on infection risk assessment stratification on the basis of the control group.They were intervented for 2 weeks, and the changes of infection prevention and quality of life in the two groups were compared.
      ResultsAfter grouping nursing, the incidence of infection in the observation group during chemotherapy was significantly lower than that in the control group (25.81% vs 53.33%, P < 0.05).Before the nursing intervention, there was no significant difference in SAS and SDS scores between the two groups (P>0.05).After nursing intervention, SAS and SDS scores of the two groups decreased significantly (P < 0.05), and the scores of the observation group were lower than those of the control group (P < 0.05).After nursing intervention, the WHOQOL-BREF scores of the observation group were better than those of the control group (P < 0.05 to P < 0.01).
      ConclusionsTargeted nursing based on infection risk assessment stratification can significantly reduce the incidence of infection in patients with acute leukemia undergoing chemotherapy and improve their psychological state and quality of life, which is worth promoting clinically.

       

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