中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
17期
2005-2008
,共4页
儿童%白血病%鞘内注射%护理干预
兒童%白血病%鞘內註射%護理榦預
인동%백혈병%초내주사%호리간예
Children%Leukemia%Lumbar puncture%Nursing intervention
目的 探讨护理干预在儿童白血病鞘内注射中的应用效果.方法 收集2008年8月至2010年11月收治的30例儿童急性白血病147次鞘内注射的临床资料.随机分为干预组(75例次)和对照组(72例次).对照组按鞘内注射常规护理,干预组在操作前、中、后予护理干预.结果 干预组患儿依从率为81.3%,对照组患儿依从率为43.1%,两组比较差异有统计学意义(χ2=22.97,P＜0.01),两组穿刺成功率比较差异也有统计学意义(90.7%比68.1%,χ2=11.56,P＜0.01);两组患儿对穿刺时疼痛反应情况及腰背痛、下肢疼痛麻木发生情况比较差异有统计学意义(P＜0.01);术后胃肠反应如恶心、呕吐比较差异无统计学意义(P>0.05).结论 护理干预能减轻患儿对穿刺时疼痛的反应,减少鞘内注射副作用,提高白血病患儿对鞘内注射的依从性,提高穿刺成功率.
目的 探討護理榦預在兒童白血病鞘內註射中的應用效果.方法 收集2008年8月至2010年11月收治的30例兒童急性白血病147次鞘內註射的臨床資料.隨機分為榦預組(75例次)和對照組(72例次).對照組按鞘內註射常規護理,榦預組在操作前、中、後予護理榦預.結果 榦預組患兒依從率為81.3%,對照組患兒依從率為43.1%,兩組比較差異有統計學意義(χ2=22.97,P＜0.01),兩組穿刺成功率比較差異也有統計學意義(90.7%比68.1%,χ2=11.56,P＜0.01);兩組患兒對穿刺時疼痛反應情況及腰揹痛、下肢疼痛痳木髮生情況比較差異有統計學意義(P＜0.01);術後胃腸反應如噁心、嘔吐比較差異無統計學意義(P>0.05).結論 護理榦預能減輕患兒對穿刺時疼痛的反應,減少鞘內註射副作用,提高白血病患兒對鞘內註射的依從性,提高穿刺成功率.
목적 탐토호리간예재인동백혈병초내주사중적응용효과.방법 수집2008년8월지2010년11월수치적30례인동급성백혈병147차초내주사적림상자료.수궤분위간예조(75례차)화대조조(72례차).대조조안초내주사상규호리,간예조재조작전、중、후여호리간예.결과 간예조환인의종솔위81.3%,대조조환인의종솔위43.1%,량조비교차이유통계학의의(χ2=22.97,P＜0.01),량조천자성공솔비교차이야유통계학의의(90.7%비68.1%,χ2=11.56,P＜0.01);량조환인대천자시동통반응정황급요배통、하지동통마목발생정황비교차이유통계학의의(P＜0.01);술후위장반응여악심、구토비교차이무통계학의의(P>0.05).결론 호리간예능감경환인대천자시동통적반응,감소초내주사부작용,제고백혈병환인대초내주사적의종성,제고천자성공솔.
Objective To study the effect of nursing intervention in children with leukemia who received chemotherapy via lumbar puncture (CMLP).Methods The data of 30 children with leukemia who received 147 times of lumbar puncture totally were collected during Aug 2008 to Nov 2010 in the First Affiliated Hospital of Anhui Medical University. These cases were randomly divided into the intervention (75 cases) and the control group (72 cases). The control group received routine nursing, the intervention group received nursing intervention before, during and after the operation.Results Significant differences were found between the two groups in the patient's compliance (81.3% vs 43.1%,χ2=22.97, P＜0.01) and the success rate (90.7% vs 68.1%,χ2=11.56, P＜0.01) of the lumbar puncture; the pain reaction, backpain and lower limb pain or numbness were significantly different(P＜0.01); the side effects in the gastrointestinal tract, e.g. nausea, vomiting showed no differences between the two groups(P>0.05).Conclusions Nursing intervention can relieve children's pain reaction to lumbar puncture, reduce side effects, improve compliance and success rate of lumbar puncture.
