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在骨髓移植治疗再生障碍性贫血中高危患者合并感染的护理应用及对患者发生不良反应的影响

2019-09-02钟玮怡马灵甫

中外医疗 2019年17期
关键词:再生障碍性贫血护理应用

钟玮怡 马灵甫

[摘要] 目的 探讨在骨髓移植治疗再生障碍性贫血中高危患者合并感染的护理应用及对患者发生不良反应的影响。方法 所选的研究对象均方便选取2017年3月—2018年8月期间该院收治的再生障碍性贫血经骨髓移植治疗的患者60例,采用随机的方法将其分为对照组和研究组,各30例。其中,对照组的患者将会采取使用常规护理的干预方案;研究组的患者则将会采取使用多种方面共同进行一系列预见性的护理干预方案。 結果 治疗一段时间后,由检测结果可知,两组在治疗总有效率上的比较上,研究组的临床有效率63.4%明显高于对照组50.0%,差异有统计学意义(χ2=4.935,P<0.05);研究组的不良反应的发生率为26.7%低于对照组30.0%,差异有统计学意义(χ2=5.134,P<0.05)。研究组患者的护理满意度90.0%显著高于对照组83.3%,差异有统计学意义(χ2=4.501,P<0.05)。 结论 对再生障碍性贫血中的高危患者而言,当患者在住院期间的粒细胞出现减少甚至是缺失的情况下,需要对患者进行及时的隔离处理,并同时对患者使用抗感染等药物的治疗。争取能使患者在最快的速度下度过感染期,促进疾病及早康复。同时,要做好相应基础及心理护理,并通过对再生障碍性贫血患者感染进行无菌操作护理,使患者情绪稳定,从多方面调动患者的主观能动性,提高临床疗效,降低了再生障碍性贫血患者感染发生率,改善生活质量。

[关键词] 骨髓移植治疗;再生障碍性贫血;合并感染;护理应用

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742(2019)06(b)-0180-04

[Abstract] Objective To investigate the nursing application of high-risk patients with infection in bone marrow transplantation for aplastic anemia and its effect on adverse reactions. Methods The selected subjects were from March 2017 to August 2018. 60 patients with aplastic anemia treated with bone marrow transplantation were convenient selected and randomly divided into control group and study group, 30 cases each. Among them, patients in the control group adopted an intervention program using routine care; patients in the study group adopted a series of predictive nursing interventions using various aspects together. Results After treatment for a period of time, it was found from the test results that the clinical effective rate of the study group(63.4%) was significantly higher than that of the control group (50.0%), and the difference was statistically significant (χ2=4.935, P<0.05); the incidence of adverse reactions in the study group was 26.7% lower than that in the control group (30.0%), and the difference was statistically significant (χ2=5.134, P<0.05). The nursing satisfaction of the study group was 90.0% significantly higher than that of the control group (83.3%), and the difference was statistically significant (χ2=4.501, P<0.05). Conclusion For high-risk patients with aplastic anemia, when the patient's granulocytes are reduced or even missing during hospitalization, the patient needs to be treated in time, and the patient is treated with anti-infective drugs, striving to enable patients to pass the infection period at the fastest speed and promote early recovery of the disease. At the same time, we must do the basic and psychological care, and through the aseptic operation of the infection of patients with aplastic anemia, so that the patient's mood is stable, mobilize the patient's subjective initiative, improve clinical efficacy, reduce aplastic anemia incidence of infection in patients, and improve the quality of life.

綜上所述,要做好相应基础及心理护理,并通过对再生障碍性贫血患者感染进行无菌操作护理,,使患者情绪稳定,从多方面调动患者的主观能动性,提高临床疗效,降低了再生障碍性贫血患者感染发生率,改善生活质量。

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(收稿日期:2019-03-18)

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