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目的探讨优质护理对白血病化疗患者焦虑抑郁情绪及治疗依从性的影响。方法选择2015年6月-2016年6月在该院行化疗治疗的白血病患者100例,按随机原则分成观察组和对照组,每组50例。对照组患者给予常规内科护理,主要包括病情观察、规律作息、饮食指导和治疗护理,观察组患者在此基础上给予优质护理。采用焦虑自评量表(SAS)及抑郁自评量表(SDS)评定2组患者的焦虑、抑郁情绪,观察2组患者的治疗依从性,采用症状自评量表(SCL-90)各因子评分比较2组患者的心理障碍改善程度。结果护理后观察组患者的SAS及SDS评分均低于入院时及对照组,患者的遵医嘱率和护理配合度均高于对照组,患者的躯体化、强迫、人际关系、敌对、恐怖、偏执、精神病性等心理障碍改善程度显著优于对照组,差异均有统计学意义(P<0.05)。结论优质护理干预的实施能显著改善白血病化疗患者的焦虑抑郁不良情绪及各种心理障碍,从而促使患者的遵医嘱率和护理配合度得到显著提升,对促进顺利进行化疗治疗并取得良好化疗效果具有积极的影响。
Objective To investigate the effect of quality nursing on anxiety and depression and treatment adherence in patients with leukemia chemotherapy. Methods From June 2015 to June 2016, 100 patients with leukemia undergoing chemotherapy in this hospital were randomly divided into observation group and control group, 50 cases in each group. Patients in the control group were given routine medical care, including observation of the disease, regular work and rest, dietary guidance and treatment and care. Patients in the observation group were given quality care on this basis. The Anxiety Scale (SAS) and Depression Scale (SDS) were used to assess the anxiety and depression of the two groups. The compliance of treatment was observed in two groups. SCL-90 Scores were compared between groups to improve the degree of mental disorders. Results After treatment, the scores of SAS and SDS in the observation group were lower than those in the admission group and the control group. The rate of doctor’s advice and nursing cooperation in the observation group were higher than those in the control group. Somatization, coercion, interpersonal relationship, hostility, terror, paranoid , Mental disorders and other mental disorders improved significantly better than the control group, the differences were statistically significant (P <0.05). Conclusion The implementation of high-quality nursing intervention can significantly improve the patients with leukemia chemotherapy anxiety and depression and other psychological disorders, thereby contributing to the patient’s compliance rate and care with the degree was significantly improved for the promotion of successful chemotherapy and achieved good chemotherapeutic effect with Positive effect.