心理护理在外周血造血干细胞移植患者中的应用  

Application of psychological nursing in peripheral blood hematopoietic stem cell transplantation

作　　者：张碧霞[1] 郭志强[1] 温伟英[1] Zhang Bixia;Guo Zhiqiang;Wen Weiying(The Blood Internal Medicine,Shaoguan Yubei People's Hospital,512026,China)

机构地区：[1]韶关市粤北人民医院血液内科,512026

出　　处：《国际护理学杂志》2020年第14期2567-2570,共4页international journal of nursing

摘　　要：目的:研究心理护理对外周血造血干细胞移植患者的影响。方法:抽取2006年3月至2015年7月在韶关市粤北人民医院干细胞治疗中心行外周血造血干细胞移植患者95例,根据移植前、移植中、移植后患者的心理特征分别采用相应的心理护理策略,观察患者心理护理干预效果。结果:心理护理干预后,95例患者均对外周血造血干细胞移植的科学性、先进性与有效性有了深入的认识,移植前基本消除了忧虑、恐惧等心理特征,患者积极主动地配合医护人员的工作,充满信心进入移植治疗阶段;移植中患者情绪基本稳定、孤独感消除并且积极配合医护人员工作,效果较好,顺利渡过了化疗预处理期和骨髓空虚期;移植后,84例患者移植成活后,无明显并发症,无对疾病复发的担忧,配合度较高,2例患者病情稳定及移植成活后,惧怕转出层流病房,9例患者因细胞生长缓慢达不到出仓标准而延期出仓;心理护理后95例患者均顺利完成了外周血干细胞移植治疗。结论:针对患者外周血造血干细胞移植不同阶段的心理特征,给予患者心理护理干预有利于消除其不良情绪及异常心理特征,促使患者积极配合医护人员的治疗,提高了治疗效果。Objective To study the effect of psychological nursing on peripheral blood hematopoietic stem cell transplantation.Methods A total of 95 patients with peripheral blood hematopoietic stem cell transplantation were selected from March 2006 to July 2015 at the stem cell treatment center of Guangdong North People's Hospital in Shaoguan.According to the psychological characteristics of patients before,during and after transplantation,the corresponding psychological nursing strategies were adopted to observe the effect of psychological nursing intervention.Results After psychological nursing intervention,all the 95 patients had a deep understanding of the scientific nature,advancement and effectiveness of peripheral blood hematopoietic stem cell transplantation.Before transplantation,psychological characteristics such as worry and fear were basically eliminated.Patients actively cooperated with medical staffs and entered the transplantation treatment stage with confidence.During the transplantation,the patient's mood was basically stable,loneliness was eliminated and he actively cooperated with the medical staffs,with good results.He successfully passed the pretreatment period of chemotherapy and the period of bone marrow emptiness.After transplantation,84 patients survived the transplantation without obvious complications or fear of disease recurrence,with a high degree of cooperation.2 patients were in stable condition and feared to be transferred out of laminar flow ward after transplantation,while 9 patients delayed their exit due to slow cell growth that could not meet the exit criteria.After psychological nursing,95 patients successfully completed peripheral blood stem cell transplantation.Conclusions According to the psychological characteristics of patients in different stages of peripheral blood hematopoietic stem cell transplantation,psychological nursing intervention is conducive to the elimination of their bad mood and abnormal psychological characteristics,promote patients to actively cooperate with medica

关 键 词：心理护理 外周血干细胞移植 心理特征 

分 类 号：R473[医药卫生—护理学]