CAJ | 학술논문

目的：探讨同步健康教育在预防急性白血病患者化疗间歇期呼吸道感染中的应用效果。方法：将52例急性白血病患者随机分为对照组和实验组各26例，对照组实施常规护理及健康教育，实验组在此基础上对患者及家属实施同步健康教育；自化疗结束当日开始观察两组化疗间歇期各时间点白细胞变化，比较两组呼吸道感染情况及生活质量。结果：实验组化疗间歇期第7、14、21及28天呼吸道感染临床症状评分均低于对照组相同时间点评分（P＜0.05），生活质量总评分低于对照组（P＜0.05），其中生理、心理社会、医务关系维度与对照组比较差异有统计学意义（ P＜0.05）。结论：对急性白血病患者与家属进行同步健康教育，有助于预防化疗间歇期呼吸道感染，改善生活质量，值得临床推广。
목적：탐토동보건강교육재예방급성백혈병환자화료간헐기호흡도감염중적응용효과。방법：장52례급성백혈병환자수궤분위대조조화실험조각26례，대조조실시상규호리급건강교육，실험조재차기출상대환자급가속실시동보건강교육；자화료결속당일개시관찰량조화료간헐기각시간점백세포변화，비교량조호흡도감염정황급생활질량。결과：실험조화료간헐기제7、14、21급28천호흡도감염림상증상평분균저우대조조상동시간점평분（P＜0.05），생활질량총평분저우대조조（P＜0.05），기중생리、심리사회、의무관계유도여대조조비교차이유통계학의의（ P＜0.05）。결론：대급성백혈병환자여가속진행동보건강교육，유조우예방화료간헐기호흡도감염，개선생활질량，치득림상추엄。
Objective:To explore the application effect of synchronous health education in the prevention of respiratory tract infection in the chemotherapy intermission in patients with acute leukemia. Methods:52 patients with acute leukemia were randomly divided into the control group and the experimental group(26 cases in each group). The routine nursing care and health education was implemented in the control group and the synchronous health education was conducted to the patients and their families in the experimental group based on the routine one. The change of white blood cells at each time point in the chemotherapy intermission have been observed in the two groups since the day of finishing chemotherapy,the respiratory tract infection and the quality of life of the patients were compared between the two groups. Results:The scores of clinical symptoms of respiratory tract infection on the day of 7th,14th,21st and 28th in the chemotherapy in-termission were lower in the experimental group than the control group(P<0. 05);the total score of life quality of the patients was lower in the experimental group than the control group(P<0. 05);the differences in the comparison of the physiological and psychological fac-tors and medical relationship were statistically significant between the two groups(P<0. 05). Conclusion:The synchronous health educa-tion provided for patients with acute leukemia and their families is conducive to the prevention of respiratory tract infection in the chemo-therapy intermission and can improve the quality of life of the patients.