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      关于浅谈白血病化疗期间的护理体会网站位置: >> 护理论文 >> 外科护理论文 >> 浏览文章
      浅谈白血病化疗期间的护理体会

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      白血病化疗期间的护理体会【摘要】目的:探讨白血病化疗期间的护理体会。策略:本文选取我院于2011年12月-2013年12月收治的78例白血病患者,在其化疗期间开展针对性护理工作,对其护理效果进行分析探讨。结果:78例白血病患者在化疗过程中,有3例患者出现感染症状,其中2例是口腔感染患者,1例是皮肤感染患者,在患者出现了不良反应后及时的给予了患者抗生素治疗,患者在一星期后感染情况减轻,慢慢的消退。同时在化疗期间,有4例患者出现了出血症状,有3例是鼻子、牙龈出血,1例是颅内出血,经过救治后,初学症状得到改善,并且逐渐痊愈。结论:白血病患者在化疗期间开展针对性的护理干预措施,能够减少化疗期间并发症和毒副作用的发生,减少患者化疗的不良反应,帮助患者顺利的度过化疗危险期,有效的降低白血病的病死率,值得在临床上推广应用。
        【关键词】白血;化疗期间;护理体会
        1004-4949(2014)12-0511-01
        白血病是当前临床中治愈率较低的一种疾病,主要就是患者的造血系统出现的一种恶性疾病,由于化疗药物的毒性非常强,因此对人体会产生非常大的影响,使得人的身体素质下降,引发各种感染症状,在化疗过程中需要观察患者的病情和药物毒性作用,重视护理工作的开展。下面本文选取了我院进行治疗的78例白血病患者,在其化疗期间开展针对性护理工作,对其护理效果进行分析探讨,现资料统计如下。
        1.资料与策略
        1.1临床资料
        本次试验选取的患者均为2011年12月-2013年12月在我院进行治疗的78例白血病患者,男22例,女17例,年龄15岁到58岁之间,平均年龄(32.19±12.43)岁;颊叨家丫客瓿闪肆礁隽瞥桃陨系幕浦瘟乒,在化疗期间患者出现的主要症状和不良反应就是静脉炎、消化道反应、口腔炎、发热、出血等不良反应。
        1.2护理策略
        78例白血病患者,在其化疗期间开展针对性护理工作,对其护理效果进行分析探讨。下面我简单对患者开展的护理过程进行简要分析探讨。
        1.2.1心理护理
        白血病患者由于自身疾病理由,使得患者对于疾病治愈率抱着非常小的希望,甚至出现了等死的念头。再加上化疗过程中,患者必须要承受非常痛苦的折磨,心理和生理上都承担着非常大的压力,大多数的血液病的病程比较长,不容易被彻底的根治,就会导致患者的心理上出现很多的不良情绪,情绪变得不安很多情况下由于心理和病痛的折磨,使得患者出现了轻生的念头,因此在护理工作开展过程中,护理人员要认识到这些理由,认真的倾听患者的叙说,体谅患者的心情,使得患者能够对治疗过程充满信心,同时也能够认识到治疗的重要性,在护理工作开展过程中,护理人员需要耐心的给患者进行病理分析和健康指导,积极的配合化疗过程的实施,稳定病情,推动患者早日康复,使得患者的心情变得舒畅,不断的增加患者的生活情趣,同时医护人员一定要以身作则,做好患者身心等方面的全方位护理,让患者能够树立战胜疾病的信心。
        1.2.2胃肠道护理
        在胃肠道护理过程中,鼓励患者大量的饮水,减轻药物对于消化道黏膜的刺激所引起的消化道反应,这样有利于毒素的派出,同时对于在化疗过程中,出现了一些不良反应的患者,一定要及时的给予治疗过程和护理过程实施,比如对于一些轻微的胃肠道不适患者,可以在化疗开始之前半小时注射甲氧氯普胺10毫克-20毫克,对于一些胃肠道反应比较严重的患者,需要在化疗开始之前恩丹西酮,同时对于部分精神状态不稳定的患者,需要及时的注射镇静剂,鼓励患者多多的食用一些容易消化、富含维生素较高的食物,这样就能够在医生的嘱托下,确保水电解质平衡和酸碱度平衡。
        1.3出血护理
        患者在餐前、餐后一定要勤漱口,最好是每隔两小时就漱口一次,这样能够保证口腔卫生,对于一些口腔感染严重的患者,需要选用漱口液进行漱口,提高患者的抗感染情况,同时要重视对皮肤黏膜的;,避开出现外力撞击,在生活中要养成好习惯,避开出现出血症状。
        2.结果
        78例白血病患者在化疗过程中,有3例患者出现感染症状,其中2例是口腔感染患者,1例是皮肤感染患者,在患者出现了不良反应后及时的给予了患者抗生素治疗,患者在一星期后感染情况减轻,慢慢的消退。同时在化疗期间,有4例患者出现了出血症状,有3例是鼻子、牙龈出血,1例是颅内出血,经过救治后,初学症状得到改善,并且逐渐痊愈。
        3.讨论
        本文选取了我院进行治疗的78例白血病患者,在其化疗期间开展针对性护理工作,对其护理效果进行分析探讨,结果发现78例白血病患者在化疗过程中,有3例患者出现感染症状,其中2例是口腔感染患者,1例是皮肤感染患者,在患者出现了不良反应后及时的给予了患者抗生素治疗,患者在一星期后感染情况减轻,慢慢的消退。同时在化疗期间,有4例患者出现了出血症状,有3例是鼻子、牙龈出血,1例是颅内出血,经过救治后,初学症状得到改善,并且逐渐痊愈。这说明了白血病患者在化疗期间开展针对性的护理干预措施,能够减少化疗期间并发症和毒副作用的发生,减少患者化疗的不良反应,帮助患者顺利的度过化疗危险期,有效的降低白血病的病死率,值得在临床上推广应用。
        参考文献
        [1]鲁颖. 白血病化疗期间的护理体会[J]. 中国医药指南,2010,28:31-32.
        [2]韩秀娟,陆艳红,许丹. 白血病化疗期间的临床观察及护理[J]. 中国医药指南,2013,10:717-718.
        [3]刘宝丽,张春艳,侯春凤. 白血病化疗期间的临床分析及护理策略[J]. 中国医药指南,2014,18:333-334.
        [4]吴惠萍. 白血病化疗期间临床观察及护理[J]. 护理实践与研究,2009,21:33-35. 全文地址:http://www.abcanuncios.com/wkhllw/lw50535.html
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