基于皮格马利翁效应的护理干预在急性白血病患儿初次PICC置管化疗期间的应用OA
Application of Nursing Interventions Based on the Pygmalion Effect in Children with Acute Leukemia Undergoing Initial PICC Placement for Chemotherapy
目的 探讨基于皮格马利翁效应的护理干预在学龄期急性白血病患儿初次接受PICC置管化疗期间的应用效果.方法 采用便利抽样法,选取2023年1月至2024年10月收治于东莞市儿童医院血液肿瘤科初次PICC置管化疗的急性白血病患儿140例为研究对象,按照入科时间先后分为对照组与干预组,各70例.对照组实施常规护理,干预组在对照组基础上实施皮格马利翁效应护理干预.采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、依从性自制问卷、一般自我效能感量表(GSES)以及白血病生活质量评估量表(FACT-Leu)比较两组患儿干预第7天的心理状态、治疗依从性、自我效能感及生活质量.结果 干预第7天,干预组患儿的SAS、SDS评分低于对照组(P<0.05),其治疗依从性较对照组高(P<0.05),GSES评分、FACT-Leu评分也均高于对照组(P<0.05).结论 皮格马利翁效应护理干预应用于初次PICC置管化疗的学龄期急性白血病患儿,可有效改善患儿化疗期间的心理状态,提高其治疗依从性与自我效能感,并可显著提升生活质量,值得借鉴.
Objective To explore the effects of nursing interventions based on the Pygmalion effect in school-age children with acute leukemia undergoing initial PICC placement for chemotherapy.Methods A total of 140 children with acute leukemia who underwent initial PICC placement for chemotherapy in the Hematology&Oncology Department at Dongguan Children's Hospital from January 2023 to October 2024 were selected by convenience sampling.They were divided into the control group(n=70)and the intervention group(n=70)according to their admission sequence.The control group received routine care,while the intervention group additionally received nursing interventions based on the Pygmalion effect.The two groups were compared in terms of psychological state,treatment compliance,self-efficacy and quality of life on Day 7 of intervention,using the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),a self-developed compliance questionnaire,General Self-Efficacy Scale(GSES),and Functional Assessment of Cancer Therapy-Leukemia(FACT-Leu).Results On Day 7 of intervention,the intervention group showed lower SAS and SDS scores(P<0.05),higher treatment compliance scores(P<0.05),and higher GSES and FACT-Leu scores than the control group(P<0.05).Conclusion The application of nursing interventions based on the Pygmalion effect in school-age children with acute leukemia undergoing initial PICC placement for chemotherapy can effectively improve their psychological state,enhance treatment compliance and self-efficacy,and significantly promote quality of life during chemotherapy.This approach is worthy of broader clinical adoption.
吴丽娟;陆文楚;陈敏;林健儿
东莞市儿童医院,广东 东莞 523000东莞市儿童医院,广东 东莞 523000东莞市儿童医院,广东 东莞 523000东莞市儿童医院,广东 东莞 523000
医药卫生
皮格马利翁效应罗森塔尔效应PICC置管化疗急性白血病患儿心理状态依从性自我效能
Pygmalion effectRosenthal effectPICC placement for chemotherapyChild with acute leu-kemiaPsychological stateComplianceSelf-effi-cacy
《上海护理》 2026 (8)
37-41,5
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