李芳+王小慧

[摘要] 目的 探讨全程护理干预模式对特发性血小板减少性紫癜（ITP）患者的效果和依从性的影响。方法 方便选取该院2013年12月—2016年12月收治入院的60例 ITP 的患者进行分析讨论。随机分为两组，每组30例，在临床医生给予积极有效的治疗的前提下，对照组给予常规护理干预措施，观察组患者在常规护理基础上给予全程护理干预模式，对两组患者临床治疗依从率进行比较分析，并采用诺丁汉健康调查问卷（nottingham healthy profile，NHP）对两组患者生活质量进行评价。 结果 观察组治疗依从性96.0%，对照组治疗依从性为73.3%，两组对比差异有统计学意义（P<0.05）；出院时，干预组患者在精力、情绪反应、睡眠、社会孤独感、身体活动能力等5个方面评分分别为（18.6±10.2）分、（23.3±8.4）分、（24.3±7.8）分、（21.1±12.7）分、（15.6±5.6）分均明显低于对照组（27.4±10.6）分、（29.5±16.3）分、（29.6±13.3）分、（27.2±8.8）分、（19.6±9.5）分，差异有统计学意义（P<0.05）。 结论 ITP 患者采用全程护理干预模式能够提高患者治疗依从率及生活质量，对患者的康复中有著重要的作用和价值。

[关键词] 全程护理；特发性血小板减少性紫癜；效果；依从性

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）05（a）-0172-03

[Abstract] Objective To investigate the effect of nursing intervention mode on the efficacy and compliance of patients with idiopathic thrombocytopenic purpura （ITP）. Methods Convenient selection a total of 60 patients with ITP who were enrolled in our hospital from December 2013 to December 2016 were analyzed and discussed. Were randomly divided into two groups， each group of 30 cases， in the clinicians to give active and effective treatment under the premise of the control group to give routine care interventions， observation group of patients on the basis of routine care to give the whole nursing intervention model， the two groups of patients clinical Results The treatment adherence was 96.0% in the observation group and 73.3% in the control group， and the treatment group was treated with the Nottingham Health Questionnaire （NHP） ， and there were significant differences between the two groups（P <0.05）. At the time of discharge， the scores of the patients in the intervention group were such as energy， emotional response， sleep， social loneliness and physical activity（18.6±10.2）points、（23.3±8.4）points、（24.3±7.8）points、（21.1±12.7）points and （15.6 ± 5.6）points were significantly lower than those in the control group（27.4±10.6）points、（29.5±16.3）points、（29.6±13.3）points、（27.2±8.8）points and （19.6±9.5）points， the difference was statistically significant（P <0.05）. Conclusion ITP patients with nursing intervention mode can improve the treatment compliance and quality of life of patients， the rehabilitation of patients has an important role and value.

[Key words] Whole nursing； Idiopathic thrombocytopenic purpura； Effect； Compliance

特发性血小板减少性紫癜（ITP）是常见的出血性疾病。临床以皮肤、黏膜出现瘀点瘀斑，或齿龈出血、鼻衄及月经过多为主要表现，严重者可出现内脏出血，甚至危及生命。由于出血症状反复存在，病情容易反复，加之治疗过程中使用大量糖皮质激素，致使患者心理、生理产生恐惧、不安，对治疗配合的依从性不好[1]。由于身心方面发生的微妙变化，病程中可能会出现较多的并发症，将影响患者的治疗效果。因此。在药物治疗的同时针对患者实施有效的临床护理干预措施，有利于提高患者的治疗效果。现将该院 2013年12月—2016年12月收治的 60 例特发性血小板减少性紫瘢患者的护理体会，现报道如下。

1 资料与方法

1.1 一般资料

该文资料来自于方便选取该院收治入院的60例 ITP 的患者，其诊断均符合《血液病诊断及疗效标准》[1]。……