中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
22期
2662-2664
,共3页
儿童%白血病%优质护理
兒童%白血病%優質護理
인동%백혈병%우질호리
Children%Leukemia%High-quality nursing
目的 探讨全程优质护理在儿童白血病的应用及效果.方法 选取广东省惠州市中心人民医院2007年1月至2011年12月确诊为白血病的患儿65例,其中男40例,女25例.年龄1～16.5岁,平均年龄9.2岁.对照组(30例)给予常规护理,观察组(35例)应用全程优质护理措施,比较两组患儿治疗依从性、合并感染情况、住院费用及患儿家长满意度情况.结果 观察组患儿及家长对医疗护理的依从性(86.8％)高于对照组(68.8％),患儿及家长满意度明显增加(93.1％比81.1％)；住院费用明显减少[(8.20±3.0)万元比(10.6±3.8)万元],两组比较,差异均有统计学意义(x2/t分别为16.56,11.39,6.67;P ＜0.05).观察组患儿住院感染发生率(46.8％)、呼吸道及肺部(24.0％)、口腔及消化道(8.0％)及静脉穿刺部位感染(8.0％)发生率均低于对照组(80.5％,42.7％,15.5％,15.5％),两组比较,差异均有统计学意义(x2分别为43.70,14.04,4.06,4.06;P ＜0.05).观察组患儿住院期间体温及C反应蛋白升高的发生率明显低于对照组(分别为15.43％比53.33％,16.57％比75.00％),两组比较,差异有统计学意义(x2分别为56.30,120.28;P ＜0.01).结论 全程优质护理能提高患儿及家长对医疗护理的依从性、增加家长的满意度,降低住院费用,减少并发症发生,促进患者康复.
目的 探討全程優質護理在兒童白血病的應用及效果.方法 選取廣東省惠州市中心人民醫院2007年1月至2011年12月確診為白血病的患兒65例,其中男40例,女25例.年齡1～16.5歲,平均年齡9.2歲.對照組(30例)給予常規護理,觀察組(35例)應用全程優質護理措施,比較兩組患兒治療依從性、閤併感染情況、住院費用及患兒傢長滿意度情況.結果 觀察組患兒及傢長對醫療護理的依從性(86.8％)高于對照組(68.8％),患兒及傢長滿意度明顯增加(93.1％比81.1％)；住院費用明顯減少[(8.20±3.0)萬元比(10.6±3.8)萬元],兩組比較,差異均有統計學意義(x2/t分彆為16.56,11.39,6.67;P ＜0.05).觀察組患兒住院感染髮生率(46.8％)、呼吸道及肺部(24.0％)、口腔及消化道(8.0％)及靜脈穿刺部位感染(8.0％)髮生率均低于對照組(80.5％,42.7％,15.5％,15.5％),兩組比較,差異均有統計學意義(x2分彆為43.70,14.04,4.06,4.06;P ＜0.05).觀察組患兒住院期間體溫及C反應蛋白升高的髮生率明顯低于對照組(分彆為15.43％比53.33％,16.57％比75.00％),兩組比較,差異有統計學意義(x2分彆為56.30,120.28;P ＜0.01).結論 全程優質護理能提高患兒及傢長對醫療護理的依從性、增加傢長的滿意度,降低住院費用,減少併髮癥髮生,促進患者康複.
목적 탐토전정우질호리재인동백혈병적응용급효과.방법 선취광동성혜주시중심인민의원2007년1월지2011년12월학진위백혈병적환인65례,기중남40례,녀25례.년령1～16.5세,평균년령9.2세.대조조(30례)급여상규호리,관찰조(35례)응용전정우질호리조시,비교량조환인치료의종성、합병감염정황、주원비용급환인가장만의도정황.결과 관찰조환인급가장대의료호리적의종성(86.8％)고우대조조(68.8％),환인급가장만의도명현증가(93.1％비81.1％)；주원비용명현감소[(8.20±3.0)만원비(10.6±3.8)만원],량조비교,차이균유통계학의의(x2/t분별위16.56,11.39,6.67;P ＜0.05).관찰조환인주원감염발생솔(46.8％)、호흡도급폐부(24.0％)、구강급소화도(8.0％)급정맥천자부위감염(8.0％)발생솔균저우대조조(80.5％,42.7％,15.5％,15.5％),량조비교,차이균유통계학의의(x2분별위43.70,14.04,4.06,4.06;P ＜0.05).관찰조환인주원기간체온급C반응단백승고적발생솔명현저우대조조(분별위15.43％비53.33％,16.57％비75.00％),량조비교,차이유통계학의의(x2분별위56.30,120.28;P ＜0.01).결론 전정우질호리능제고환인급가장대의료호리적의종성、증가가장적만의도,강저주원비용,감소병발증발생,촉진환자강복.
Objective To explore the application and effect of whole-course high-quality nursing on children with leukemia.Methods Totals of 65 leukemia(40 male,25 female) with age between 1 and 16.5 years old(mean age 9.2 years old) were recruited and randomly divided into control group (n =30) that received the conventional nursing and observational group (n =35) that received the whole-courses high quality nursing.Then,the cure compliance,infection incidence,hospitalization expense,and satisfaction degree of parents of leukemia children were observed between the two group.Results Compared with control group,among observational group,the cure compliance of patients and their parents was higher (86.8％ vs 68.8％),satisfaction degree of parents was improved (93.1％ vs 81.1％),hospitalization expense was lower [ (8.20 ±3.0) ten thousand (￥)vs (10.6±3.8) ten thousand (￥) ],the hospital infection rate and the infection rate of respiratory tract and lungs,oral and digestive tract,venipuncture sites were lower (46.8 ％ vs 80.5％,24.0％ vs 42.7％,8.0％ vs 15.5％,8.0％ vs 15.5％),and the differences were statistically significant (x2 =43.70,14.04,4.06,4.06;P ＜ 0.05).Temperature and C-reactire protein in observational group was obvicusly less than control group(15.43％ vs 53.33％,16.57％ vs 75.00％),and the difference was statistically significant (x2 =56.30,120.28 ; P ＜ 0.01).Conclusions Application of whole-course high-quality nursing can improve the cure compliance of patients and parents,improve their satisfaction degree,reduce the hospitalization costs and incidence of complications,promote the rehabilitation of children with leukemia.
