Comparative analysis of the impact of traditional Chinese medicine nursing intervention and western medicine routine nursing on immune function in leukemia patients after chemotherapy
中医护理干预与西医常规护理对白血病患者化疗后免疫功能的影响分析

摘要

为探讨中医护理干预与西医常规护理对血液二综合肿瘤病区白血病患者化疗后免疫功能的影响及其临床效果，选取血液二综合肿瘤病区接受化疗的104例白血病患者，按照随机数表法分为治疗组和对照组各52例。对照组患者接受西医常规护理，治疗组患者在此基础上实施中医护理干预。采用三项评价指标进行比较：（1）PICC植入后并发症发生率；（2）患者对PICC植入知识的掌握度；（3）护理满意度评分。结果显示治疗组患者PICC植入后并发症总发生率为1.92%，显著低于对照组的11.54%。在PICC植入知识的掌握度方面，治疗组掌握率显著高于对照组。患者满意度评分方面，治疗组平均得分91.43±8.4分，高于对照组的82.4±7.32分。治疗组患者的满意度分布也表现为高分段者更多（＞85分者46例）。因此，中医护理干预在白血病化疗后的护理中展现出优越的临床效果，能够显著降低PICC植入后并发症发生率，改善患者的化疗体验，促进免疫功能康复。

Abstract

To investigate the impact of traditional Chinese medicine(TCM)nursing intervention and Western medicine routine nursing on immune function in leukemia patients after chemotherapy and their clinical effects,104 leukemia patients receiving chemotherapy in the Department of Hematology and Oncology were selected and divided into the treatment group and the control group, with 52 cases in each group, according to the random number table method. The control group received Western medicine routine nursing, while the treatment group received TCM nursing intervention on this basis. Three evaluation indicators were used for comparison:(1) the incidence of complications after PICC insertion;(2) patients' knowledge of PICC insertion;(3) nursing satisfaction score. The results showed that the total incidence of complications after PICC insertion in the treatment group was 1.92%, significantly lower than that of the control group at 11.54%. In terms of knowledge of PICC insertion, the treatment group had a significantly higher mastery rate than the control group. Regarding nursing satisfaction scores, the treatment group had an average score of 91.43±8.4,higher than the control group's 82.4±7.32.The distribution of satisfaction scores in the treatment group also showed a higher proportion of high scores (46 cases with scores>85). Therefore, TCM nursing intervention demonstrates superior clinical effects in the nursing of leukemia patients after chemotherapy, significantly reducing the incidence of complications after PICC insertion, improving patients' chemotherapy experience, and promoting immune function recovery.