Study on observation key points and symptomatic nursing of cancerous fever in patients with lymphoma
淋巴瘤患者癌性发热病症的观察要点与对症护理研究

摘要

目的 研究淋巴瘤患者癌性发热的临床观察要点，探讨针对性对症护理的临床应用效果，为优化淋巴瘤患者发热护理方案、改善患者预后提供临床参考。方法 选取我院1年内收治的380例35-65岁淋巴瘤合并癌性发热患者为研究对象，随机分为对照组与实验组，各190例。对照组实施肿瘤科常规发热护理，实验组结合癌性发热专项观察要点开展系统化对症护理干预。对比两组患者发热缓解效果、发热持续时间及护理满意度。结果 实验组发热治疗总有效率显著高于对照组；实验组发热持续时间、体温恢复正常时间均短于对照组；实验组护理满意度显著高于对照组，组间数据差异均有统计学意义（P<0.05）。结论 明确淋巴瘤患者癌性发热专项观察要点，落实系统化对症护理干预，可快速缓解患者发热症状，缩短发热病程，提升护理服务质量与患者满意度，有效改善患者治疗体验，临床应用价值显著。

Abstract

Objective To investigate the key clinical observation points of cancerous fever in lymphoma patients and explore the clinical efficacy of targeted symptomatic nursing, so as to provide clinical reference for optimizing nursing protocols for fever and improving the prognosis of lymphoma patients.
Methods A total of 380 lymphoma patients aged 35–65 years complicated with cancerous fever admitted to our hospital within one year were selected as research subjects and randomly divided into control group and experimental group, with 190 cases in each group. The control group received routine nursing care for fever in oncology department, while the experimental group was given systematic symptomatic nursing intervention based on special observation points of cancerous fever. The fever remission efficacy, duration of fever and nursing satisfaction were compared between the two groups.
Results The total effective rate of fever relief in the experimental group was obviously higher than that in the control group; the fever duration and body temperature recovery time of the experimental group were shorter than those of the control group; the nursing satisfaction of the experimental group was significantly superior to the control group, and all inter-group differences were statistically significant (P<0.05).
Conclusion   Defining special observation points and implementing standardized systematic symptomatic nursing intervention for cancerous fever in lymphoma patients can rapidly relieve febrile symptoms, shorten fever course, improve nursing quality and patient satisfaction, optimize patients’ treatment experience, which possesses prominent clinical application value.