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大剂量地塞米松冲击治疗血液系统疾病患者的整体护理

Holistic nursing care of high-dose dexamethasone pulse therapy in hematological system disorders

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【作者】 魏莉黄莺陈勤奋

【Author】 WEI Li 1, HUANG Ying 1, CHEN Qinfen 2 (1. Department of Nursing, Huashan Hospital, Fudan University, Shanghai 200040, China; 2. Department of Hematology, Huashan Hospital, Fudan University, Shanghai 200040, China)

【机构】 复旦大学附属华山医院护理部复旦大学附属华山医院血液科

【摘要】 地塞米松是一种长效糖皮质激素,大剂量40mg/d连用4d单药或联合其他药物治疗多发性骨髓瘤、淋巴瘤和急性淋巴细胞白血病等疗效确切,但同时也会发生糖皮质激素的不良反应。本文从熟悉含大剂量地塞米松的治疗方案及其不良反应、组成医疗-护理小组和护理内容三方面来介绍对患者的医、护协作的整体护理,以预防或减轻大剂量地塞米松治疗的不良反应。

【Abstract】 Dexamethasone is a prolonged action glucocorticoid. High-dose dexamethasone with 40 mg/d for 4 consecutive days has been used alone or combined in treating multiple myeloma, immune thrombocytopenia, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma and acute lymphoblastic leukemia effectively, but at the same-time has the side-effect apparently. This paper introduces the holistic nursing care cooperating with doctors and nurses to the patients from three aspects of the familiar treatment regimens and their side-effect, composition of the medical care team and nursing content to prevent and lighten the side-effect of high-dose dexamethasone treatment.

  • 【文献出处】 上海医药 ,Shanghai Medical & Pharmaceutical Journal , 编辑部邮箱 ,2013年03期
  • 【分类号】R473.5
  • 【被引频次】3
  • 【下载频次】71
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