Effect of Comprehensive Solution-focused Nursing on Children with Leukemia Undergoing Chemotherapy

Gu Cuixia; Xie Huanhuan; Pei Miao

doi:10.3969/j.issn.1006-7256.2024.17.006

Abstract：Objective:To investigate the effect of comprehensive solution-focused nursing on infection,adverse reactions,cancer-related fatigue,psychological state and quality of life in children with leukemia during chemotherapy.Methods:A total of 86 children with leukemia undergoing chemotherapy from January 1,2022 to February 28,2023 were retrospectively selected and divided into a routine nursing group and a solution-focused nursing group according to the random number table method,with 43 cases in each group.The children in the rou-tine nursing group were given routine nursing intervention,and the children in the solution-focused nursing group were provided comprehen-sive solution-focused nursing on the basis of routine intervention.The incidence of infection and adverse reactions during chemotherapy,nu-tritional indicators[including serum albumin(ALB),retinol binding protein(RBP),prealbumin(PA),deltoid skinfold thickness,upper arm circumference],PedsQLTMMFS,SCARED and DSRSC,TCSQ and HHI,PedsQL 4.0 were used for comparison.Results:The inci-dence of infection in the solurion-focused nursing group was lower than that in the routine nursing group(P<0.05),and the incidence of adverse reactions such as nausea and vomiting,hyperuricemia and phlebitis was lower than that in the routine nursing group(P<0.05).Af-ter the intervention,the nutritional indexes and the scores of all dimensions of PedsQLTMMFS in the solurion-focused nursing group were higher than those before intervention and those in the routine nursing group(P<0.05,P<0.01).The scores of all dimensions of PedsQL 4.0 in the two groups were higher after intervention than those before intervention(P<0.05),and the scores of the solurion-focused nursing group(except for the dimension of social function)were higher than those in the routine nursing group(P<0.01).After intervention,the DSRSC and SCARED scores,TCSQ and HHI scores of main caregivers in the two groups were better than those before intervention,and the scores in the solution-focus nursing group was better than the routine nursing group(P<0.01).Conclusion:The comprehensive solution-fo-cused nursing can further reduce the incidence of infection and adverse reactions,improve the nutritional status of children and reduce the risk of disease deterioration.At the same time,it can relieve cancer-related fatigue and negative emotions of children and improve their quality of life and the hope level of the main caregivers,which is helpful to improve the prognosis of children with leukemia.