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优质护理对白血病患者经外周静脉穿刺中心静脉置管并发症的影响

Effects of high-quality nursing on complications of peripherally inserted central catheter placement in patients with leukemia.

作者信息

Wang Juan, Xu Xiaoli

机构信息

Department of Hematology, The First Affiliated Hospital of Soochow University Suzhou 215006, Jiangsu, China.

出版信息

Am J Transl Res. 2022 May 15;14(5):3472-3480. eCollection 2022.

Abstract

OBJECTIVE

To determine the effects of high-quality nursing on negative emotions, treatment compliance, and complications of peripherally inserted central catheter (PICC) placement in patients with leukemia.

METHODS

A total of 87 patients with leukemia treated in our hospital from May 2018 to May 2020 were retrospectively enrolled and their clinical data were analyzed. The patients were assigned to a routine group (n=40) and a high-quality group (n=47) based on different nursing schemes. The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to compare the negative emotional changes in patients of the two groups, and the visual analogue scale (VAS) was used to analyze the degree of pain. The two groups were compared in treatment compliance, quality of life, incidence of complications of PICC placement, and nursing satisfaction.

RESULTS

After intervention, the high-quality group got significantly lower SDS and SAS scores than the routine group (both P<0.05). Compared with the routine group, the high-quality group showed higher treatment compliance and nursing satisfaction, experienced higher quality of life (all P<0.05), with also a lower total incidence of complications of PICC placement (P<0.01).

CONCLUSION

For patients with leukemia, high-quality nursing can substantially improve their psychological state, treatment compliance and nursing satisfaction, and reduce the incidence of complications of PICC placement.

摘要

目的

探讨优质护理对白血病患者外周静脉中心静脉置管(PICC)时负性情绪、治疗依从性及并发症的影响。

方法

回顾性纳入2018年5月至2020年5月在我院治疗的87例白血病患者,并分析其临床资料。根据不同护理方案将患者分为常规组(n = 40)和优质组(n = 47)。采用自评抑郁量表(SDS)和自评焦虑量表(SAS)比较两组患者的负性情绪变化,采用视觉模拟评分法(VAS)分析疼痛程度。比较两组患者的治疗依从性、生活质量、PICC置管并发症发生率及护理满意度。

结果

干预后,优质组SDS和SAS评分均显著低于常规组(均P < 0.05)。与常规组相比,优质组治疗依从性和护理满意度更高,生活质量更高(均P < 0.05),PICC置管并发症总发生率更低(P < 0.01)。

结论

对于白血病患者,优质护理可显著改善其心理状态、治疗依从性及护理满意度,并降低PICC置管并发症的发生率。

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