原发性系统性淀粉样变性患者行自体外周血干细胞移植期间睡眠质量的质性研究  

A qualitative study on sleep quality during autologous peripheral blood stem cell transplantation in patients with primary systemic amyloidosis

作　　者：高玲玲 李卉 GAO Lingling;LI Hui(Nephrology Department,Eastern Theater General Hospital,Nanjing,Jiangsu,210002)

机构地区：[1]东部战区总医院肾脏科,江苏南京210002

出　　处：《中西医结合护理（中英文）》2020年第4期23-26,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨原发性系统性淀粉样变性患者行自体外周血干细胞移植(AHSCT)期间的睡眠情况和影响因素。方法采用目的抽样法选取12例AL型淀粉样变性行AHSCT的患者为研究对象,采用质性研究方法,以半结构式访谈方式对患者进行深入访谈,并运用Colaizz内容分析法进行资料分析。结果原发性系统性淀粉样变性患者移植期间失眠状况显著,影响患者睡眠质量的主要因素包括环境不适应、术后不适症状、护士操作频繁、睡眠习惯的改变、留置导管、心理压力。结论医护人员应加强对自体外周血干细胞移植患者睡眠状况的干预,及时采取措施以提高患者的睡眠质量。Objective To investigate the sleep quality and its influencing factors in patients with primary systemic amyloidosis during autologous peripheral blood stem cell transplantation(AHSCT),and to provide reference for improving the sleep quality of patients.Methods The objective sampling method was used to select 12 patients undergoing AHSCT.Qualitative research method was used to conduct in-depth interviews with patients by semi-structured interview,and Colaizz content analysis was used to analyze the data.Results Patients had suffered from insomnia during transplantation.The main factors affecting sleep quality included environmental inadaptability,postoperative discomfort,frequent operation of nurses,changes in sleep habits,indwelling catheter and psychological stress.Conclusion Medical and nursing staff should pay enough attention to the sleep status of patients undergoing AHSCT,and can take timely measures to improve the sleep quality of patients.

关 键 词：原发性系统性淀粉样变性 干细胞移植 睡眠质量 质性研究 

分 类 号：R473.5[医药卫生—护理学]