Abstract

Chemotherapy, the main treatment method of AL, can produce varying degrees of toxic and side effects on patients while killing tumor cells, resulting in decreased immune function of patients. We aim to explore the application effect of high-quality nursing intervention based on humanistic care combined with the project teaching method on patients with acute leukemia (AL) undergoing chemotherapy and its effect on their psychological state and satisfaction. 114 AL patients undergoing chemotherapy in the Department of Hematology of our hospital from July 2018 to July 2020 were chosen as the research objects and equally randomized into the experimental group (EG) and control group (CG). CG received routine nursing during chemotherapy, while EG received high-quality nursing intervention based on humanistic care combined with the project teaching method. Hospital Anxiety and Depression Scale (HAD) was adopted to evaluate the psychological state of patients in both groups after intervention, and the self-made nursing satisfaction questionnaire in our hospital was applied to evaluate the clinical nursing satisfaction. The HAD-A and HAD-D scores in the CG (P < 0.001) were significantly higher than the HAD-A and HAD-D scores in the EG after intervention. The scores of various coping styles in the EG after intervention were better than those in the CG (P < 0.05). Compared with the CG, the total nursing satisfaction after intervention was remarkably higher in the EG (P < 0.001), while the total incidence of adverse reactions during intervention was notably lower (P < 0.05). High-quality nursing intervention based on humanistic care combined with the project teaching method for AL patients undergoing chemotherapy can effectively relieve negative emotions, improve clinical nursing satisfaction, and reduce adverse reactions during chemotherapy.

Highlights

  • Acute leukemia (AL), a common malignant tumor of hematopoietic stem cells, often presents with symptoms such as bleeding, anemia, infiltration, and infection [1]

  • control group (CG) received routine nursing during chemotherapy, while experimental group (EG) received high-quality nursing intervention based on humanistic care combined with the project teaching method

  • We can clinically split AL into two parts according to the cell types involved: acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML). e primary symptoms of AL included persistent high fever or repeated infection with enlargement of the spleen, liver, and lymph nodes to varying degrees, resulting in only a few months of survival time in most patients without treatment

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Summary

Introduction

Acute leukemia (AL), a common malignant tumor of hematopoietic stem cells, often presents with symptoms such as bleeding, anemia, infiltration, and infection [1]. E project teaching method is centered on Journal of Healthcare Engineering team learning, takes course projects as the main line, takes task goals as the mission, and emphasizes the ability, quality, and professional knowledge of medical staff. It can effectively cultivate nurses’ sense of teamwork and innovation and improve nursing satisfaction, which has been proved in advanced cancer [8]. This study proposes to investigate the application effect of high-quality nursing intervention based on humanistic care combined with the project teaching method on AL patients undergoing chemotherapy and its effect on their psychological state and satisfaction

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