摘要
目的:探讨护士主导的强化心理干预对造血干细胞移植(HSCT)患儿身心恢复的影响。方法:选取2020年1月1日~12月31日收治的44例HSCT患儿作为对照组,实施常规护理;将2021年1月1日~12月31日收治的44例HSCT患儿作为观察组,在对照组基础上联合应用护士主导的强化心理干预。分别于护理前、护理4周后比较两组患儿负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、治疗依从性、生命体征、癌因性疲乏[采用癌因性疲乏评估量表(PFS)]、应对方式[采用应对方式量表(MCMQ)]及并发症。结果:护理4周后,两组患儿SAS、SDS、心率、呼吸、PFS评分及MCMQ中回避、屈服评分均低于护理前(P<0.05),且观察组均低于对照组(P<0.01);护理4周后,两组患儿按时服药、坚持服药治疗依从性、MCMQ中面对评分均高于护理前(P<0.05),且观察组高于对照组(P<0.01)。结论:护士主导的强化心理干预对HSCT患儿身心具有良好的恢复效果,改善患儿负性情绪,提高治疗依从性和疾病积极应对方式。
Objective:To explore the effect of nurse-led intensive psychological intervention on physical and mental recovery in children undergoing hematopoietic stem cell transplantation(HSCT).Methods:A total of 44 children admitted during January 1 to December 31,2020 were included in the control group,the control group was given routine nursing.While another 44 cases admitted during January 1 to December 31,2021 were included in the observation group.The observation group was additionally given nurse-led intensive psychological intervention.The negative emotions by the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),treatment compliance,vital signs,cancer-related fatigue by Piper Fatigue Scale(PFS),coping styles by Medical Coping Modes Questionnaire(MCMQ)and incidence of complications were compared between the two groups before and after 4 weeks of nursing.Results:After 4 weeks of nursing,the scores of SAS,SDS,heart rate,breathing,PFS scores and avoidance,yield MCMQ scores in both groups were lower than those before intervention(P<0.05),and those in the observation group than those in the control group(P<0.01).After 4 weeks of nursing,the scores of compliance punctual medication,adherence to medication and facing of MCMQ in both groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.01).Conclusion:The application effect of nurse-led intensive psychological intervention is good for physical and mental recovery of HSCT children,which can improve their negative emotions,improve their treatment compliance and positive coping styles.
作者
胡园园
杨理
胡仁辉
Hu Yuanyuan;Yang Li;Hu Renhui(Hunan Children′s Hospital,Changsha Hunan 410007,China)
出处
《齐鲁护理杂志》
2022年第23期1-4,共4页
Journal of Qilu Nursing
基金
湖南省临床医疗技术创新引导项目(编号:2020SK50507)。
关键词
护士主导
强化心理干预
造血干细胞移植
负性情绪
治疗依从性
癌因性疲乏
应对方式
Nurse-led
Intensive psychological intervention
Hematopoietic stem cell transplantation
Negative emotions
Treatment compliance
Cancer-related fatigue
Coping styles
