中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
16期
1895-1897
,共3页
行为转变%健康教育%中药%骨髓抑制
行為轉變%健康教育%中藥%骨髓抑製
행위전변%건강교육%중약%골수억제
Behavior change%Health education%Traditional Chinese medicine%Bone marrow suppression
目的 探讨行为转变的健康教育模式在中药治疗化疗后骨髓抑制患者中的应用效果.方法 选取妇科恶性肿瘤术后进行化疗的患者60例,按随机数字法分为对照组和观察组,两组均应用同种中药方剂治疗,观察组采用行为转变的健康教育模式进行宣教,对照组采用普通健康教育.观察两组患者定期随访时血常规的情况.结果 观察组白细胞下降发生率(30％)明显低于对照组(60％),两组比较差异有统计学意义(x2 =5.46,P＜0.05).观察组化疗的过程未出现Ⅳ期骨髓抑制,Ⅰ、Ⅱ、Ⅲ期骨髓抑制发生例数少于对照组.两组患者化疗后出现造血毒性白细胞下降例数比较,差异有统计学意义(x2=6.92,P＜0.05).观察组患者升白药使用总量为232.5 μg,对照组为450.0 μg,对照组升白药的使用率(26.67％)明显高于观察组(3.33％),两组比较差异有统计学意义(x2=4.706,P＜0.05).观察组白细胞恢复正常所需的时间少于对照组,两组比较差异有统计学意义(t值分别为5.547,6.364;P＜0.05).结论 行为转变理论的健康教育模式对提高中药治疗化疗后骨髓抑制的疗效具有临床意义.
目的 探討行為轉變的健康教育模式在中藥治療化療後骨髓抑製患者中的應用效果.方法 選取婦科噁性腫瘤術後進行化療的患者60例,按隨機數字法分為對照組和觀察組,兩組均應用同種中藥方劑治療,觀察組採用行為轉變的健康教育模式進行宣教,對照組採用普通健康教育.觀察兩組患者定期隨訪時血常規的情況.結果 觀察組白細胞下降髮生率(30％)明顯低于對照組(60％),兩組比較差異有統計學意義(x2 =5.46,P＜0.05).觀察組化療的過程未齣現Ⅳ期骨髓抑製,Ⅰ、Ⅱ、Ⅲ期骨髓抑製髮生例數少于對照組.兩組患者化療後齣現造血毒性白細胞下降例數比較,差異有統計學意義(x2=6.92,P＜0.05).觀察組患者升白藥使用總量為232.5 μg,對照組為450.0 μg,對照組升白藥的使用率(26.67％)明顯高于觀察組(3.33％),兩組比較差異有統計學意義(x2=4.706,P＜0.05).觀察組白細胞恢複正常所需的時間少于對照組,兩組比較差異有統計學意義(t值分彆為5.547,6.364;P＜0.05).結論 行為轉變理論的健康教育模式對提高中藥治療化療後骨髓抑製的療效具有臨床意義.
목적 탐토행위전변적건강교육모식재중약치료화료후골수억제환자중적응용효과.방법 선취부과악성종류술후진행화료적환자60례,안수궤수자법분위대조조화관찰조,량조균응용동충중약방제치료,관찰조채용행위전변적건강교육모식진행선교,대조조채용보통건강교육.관찰량조환자정기수방시혈상규적정황.결과 관찰조백세포하강발생솔(30％)명현저우대조조(60％),량조비교차이유통계학의의(x2 =5.46,P＜0.05).관찰조화료적과정미출현Ⅳ기골수억제,Ⅰ、Ⅱ、Ⅲ기골수억제발생례수소우대조조.량조환자화료후출현조혈독성백세포하강례수비교,차이유통계학의의(x2=6.92,P＜0.05).관찰조환자승백약사용총량위232.5 μg,대조조위450.0 μg,대조조승백약적사용솔(26.67％)명현고우관찰조(3.33％),량조비교차이유통계학의의(x2=4.706,P＜0.05).관찰조백세포회복정상소수적시간소우대조조,량조비교차이유통계학의의(t치분별위5.547,6.364;P＜0.05).결론 행위전변이론적건강교육모식대제고중약치료화료후골수억제적료효구유림상의의.
Objective To investigate the effect of behavior change mission mode in traditional Chinese medicine treatment of patients with bone marrow suppression after chemotherapy.Methods Totals of 60 patients after gynecological malignancies who undergone chemotherapy were randomly divided into control and observation groups,both groups used the same kinds of Chinese medicine.Patients in the observation group received health education by behavior change mode,while patients in control group received the general health education.The routine blood test in the two groups were observed and patients were followed up regularly.Results The decrease incidence of WBC in observation group was significantly lower than that in control group (30％ vs 60％),the different were statistical significant (x2 =5.46,P ＜ 0.05).The observation group's bone marrow suppression showed lower incidence than control group with no Ⅳ bone marrow suppression happened.Significant differences were found in the extent of WBC damaged and time required to recover WBC between two groups (P ＜ 0.05).The utilization of leucocyte-stimulating agents,and the use rate of rising WBC medicine in observation group were lower than that in control group [232.5 μg vs 450.0 μg,3.33％ vs 26.67％ ; P ＜0.05)].The time in leukocyte to recovery normal level was more quicker in observation group than control group,the difference was statistical significant (t =5.547,6.364 ; P ＜ 0.05).Conclusions The health education model of behavior change shows the clinical significance in improving the efficacy of traditional Chinese medicine treatment of bone marrow suppression after chemotherapy.
