胡 冰 刘明兴（中国医科大学附属盛京医院，辽宁 沈阳 110004）

·护 理·

中医特色护理干预对急性白血病患者护理效果及生活质量的影响*

胡 冰 刘明兴
（中国医科大学附属盛京医院，辽宁 沈阳 110004）

目的 观察中医特色护理干预对急性白血病患者护理效果及生活质量的影响。方法 将急性白血病患者170例按照随机数字表法分为研究组和对照组，各85例，对照组给予常规护理，研究组在对照组的基础上给予中医特色护理干预，应用世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评价患者的生活质量，应用焦虑自评量表（SAS）和抑郁自评量表（SDS）评价患者焦虑和抑郁情况，并比较感染情况、临床症状改善情况。结果 护理前两组躯体功能、角色功能、认知功能、情绪功能以及社会功能评分差异无统计学意义（P＞0.05），护理后两组躯体功能、角色功能、认知功能、情绪功能以及社会功能评分均显著升高，且研究组显著高于对照组（P＜0.05）；护理前两组SAS评分和SDS评分差异无统计学意义（P＞0.05），护理后两组SAS评分和SDS评分显著改善，且研究组显著优于对照组（P＜0.05）；研究组白细胞、血小板和血红蛋白恢复正常时间显著短于对照组（P＜0.05）；研究组食欲改善、乏力减轻、虚汗减少比例显著高于对照组（P＜0.05）；研究组呼吸道感染、泌尿系感染、口腔感染的发生率显著低于对照组（P＜0.05）。结论 中医特色护理干预可以提高急性白血病患者的生活质量，改善患者症状，降低感染发生率。

急性白血病 中医特色护理干预 生活质量

【Abstract】Objective：To study the effect of nursing intervention with TCM characteristics on nursing effect and quality of life of patients with acute leukemia.Methods：170 cases were randomly divided into the observation group and the control group，85 cases in each.The control group received conventional nursing care，while the observation group added nursing intervention with TCM characteristics.WHOQOL-BREF was used to evaluate the quality of life of patients，SAS and SDS to evaluate anxiety and depression in patients，and infection status and the improvement of clinical symptoms were compared.Results：There was no statistical significance in the scores of physical function，role function，cognitive function，emotional function and social function before nursing（P＞0.05）.After nursing，all the scores significantly increased，and the observation group was significantly higher than the control group；the difference was statistically significant（P＜0.05）.Before nursing，there was no statistical significance in the scores of SAS and SDS（P＞0.05）.After nursing，the scores of SAS and SDS significantly improved，and the observation group was significantly better than the control group；the difference was statistically significant（P＜0.05）.Returning to normal time of white blood cell，platelet and hemoglobin in the observation group was significantly shorter than those of the control group；the difference was statistically significant（P＜0.05）.The proportion of appetite improvement，fatigue relief and sweating decrease in the observation group was significantly higher than that of the control group；the difference was statistically significant（P＜0.05）.The incidence of respiratory tract infection，urinary tract infection and oral infection in the observation group was significantly lower than that of the control group；the difference was statistically significant（P＜0.05）.Conclusion：Nursing intervention with TCM characteristics can improve quality of life of Patients with acute leukemia，better the symptoms of the patient，and reduce the incidence of infection.

【Key words】Nursing intervention with TCM characteristics；Acute leukemia；Quality of life

急性白血病是造血干细胞恶性克隆性的疾病，该病发病比较迅速，死亡率也较高。……