护理干预在门冬酰胺酶相关性胰腺炎的作用研究

发布时间：2018-06-01 11:19

本文选题：门冬酰胺酶 + 白血病　；参考：《青岛大学》2017年硕士论文

【摘要】：目的:以护理干预的方式来了解门冬酰胺酶相关性胰腺炎的发生率及胰腺炎之后的治疗情况方法:选取2008年1月至2014年12月在青岛大学附属医院血液儿科确诊急性淋巴细胞性白血病,196名患儿798例次使用门冬酰胺酶患者,作为对照组,采用普通护理措施,观察组:选取2015.1-2017.4在青岛大学附属医院血液儿科确诊急性淋巴细胞性白血病的76名患儿320例次使用门冬酰胺酶化疗患者,采取护理干预,对照组患者施行常规护理;观察组患者在常规护理基础上施行护理干预,观察两组患者的护理效果,包括门冬酰胺酶相关性胰腺炎的发病情况、血生化指标、治疗依从性及患者满意度,并对发病患儿积极治疗,效果满意。结果:观察组患者的发病率低于对照组(X2=5.013,P0.05),血液生化指标显示,两组化疗后ALB与用药前相比均下降,下降程度间差异有统计学意义t=4.91;(P0.05),两组化疗后PT、APTT差异有统计学意义(t=3.135,t=3.995;P0.05);两组化疗后PT、APTT差异有统计学意义(t=3.135,t=3.995;P0.05),护理指标依从性方面,饮食健康(X2=9.600,P0.05),适当锻炼(X2=9.728,P0.05),院感次数(X2=9.057,P0.05);护理满意度高于对照组(Z=-2.658,P0.05),两组比较差异均具有统计学意义(P0.05)。结论:1、门冬酰胺酶化疗患儿施行护理干预,可有效降低患者发病率,提高患者治疗依从性,提高临床护理满意度。2、重症胰腺炎通过鼻空肠管早期肠内营养可获得满意疗效。
[Abstract]:Objective : To investigate the incidence of patients with acute lymphoblastic leukemia and the treatment of pancreatitis after treatment with nursing intervention . The results showed that the incidence of patients with acute lymphoblastic leukemia was significantly lower than that in the control group ( X2 = 5.013 , P < 0.05 ) . The results showed that the incidence of the patients in the observation group was lower than that in the control group ( X2 = 3.135 , P < 0.05 ) , the number of patients was decreased ( X2 = 9.728 , P0.05 ) , the nursing satisfaction was higher than that of the control group ( X2 = 9.057 , P0.05 ) . Conclusion : 1 . The intervention of nursing intervention can effectively reduce the morbidity of patients , improve the compliance of patients and improve the satisfaction of clinical nursing .
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

【参考文献】