THE EFFECT OF STANDARD PATHWAY CARE FOR HEALTH PROMOTION IN PATIENTS WITH ACUTE MYELOID LEUKEMIA

ZhiHong Huang^#, Juan Wu^#, Ling Li, Min Hu, XueMei Zhang^* 

Department of Hematology, WuHan No.1 Hospital, Wuhan, Hubei 430022, China

Objective: To investigate the effects of standard pathway care for health promotion on negative emotions, quality of life, sleep quality, and prognosis of patients with acute myeloid leukemia. 

Methods: A random number table method was used to divide 116 patients with acute myeloid leukemia into an observation group and a control group. Patients in both groups were given conventional treatment, in which patients in the observation group were given standard pathway nursing interventions for health promotion, and patients in the control group were given conventional nursing interventions. The anxiety self-assessment scale (SAS) scores, depression self-assessment scale (SDS) scores, quality of life scores, sleep quality scores, and survival of the two groups were compared before and after 3 months of intervention. 

Results: After 3 months of intervention, the patients in the observation group had lower SAS and SDS scores, higher quality of life scores, and lower sleep quality scores than the control group, and the differences were statistically significant (P﹤0.05). The incidence of vomiting, myelosuppression, fatigue, bleeding, and oral mucositis were lower in the observation group than in the control group, and the differences were all statistically significant (P﹤0.05). There was no statistically significant difference between the median survival time of patients in the observation and control groups (P>0.05). 

Conclusion: The standard pathway of health promotion care helps to improve negative emotions, quality of life and, sleep quality in patients with acute myeloid leukemia, but has no significant effect on patient prognosis.