心理疏导护理在单采深度自体储血期间的效果观察  

Effect of psychological counseling nursing in patients receiving advanced autologous apheresis treatment

作　　者：杨磊[1] 陈冠伊[1] 王丽华[1] 吴靖辉[1] 欧阳锡林[1] YANG Lei;CHEN Guanyi;WANG Lihua;WU Jinghui;OUYANG Xilin(Department of Blood Transfusion,the Fourth Medical Center of PLA General Hospital,Beijing 100048,China)

机构地区：[1]解放军总医院第四医学中心输血科,北京100048

出　　处：《中国输血杂志》2021年第4期399-402,共4页Chinese Journal of Blood Transfusion

摘　　要：目的探讨心理疏导护理在单采深度自体储血(AAA)期间对患者的心理应激状态及不良反应发生率的影响。方法选择2019年9月~2020年2月在本院输血科行AAA的253名患者作为研究对象,随机化分为观察组(n=127)和对照组(n=126),在常规护理的基础上,观察组接受心理疏导护理。应用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组患者心理应激状态,比较2组患者AAA不良反应发生率,并应用纽卡斯尔护理服务满意度量表(NSNS)比较2组患者对护理的满意度。结果观察组与对照组AAA结束时的SAS和SDS评分(分)分别为:30.03±5.06 vs 43.55±3.68和33.59±4.49 vs 42.18±4.22(P<0.05)。观察组与对照组输血不良反应率(抽搐除外)分别为:心慌气短11.8%(15/127)vs 26.2%(33/126)、出虚汗6.3%(8/127)vs 16.7%(21/126)、头晕口麻8.7%(11/127)vs 23.8%(30/126)、恶心5.5%(7/127)vs 19.8%(30/126)(P<0.05);观察组与对照组护理总满意率为98.4%(125/127)vs 92.9%(117/126)(P<0.05)。结论心理疏导护理明显缓解单采深度自体储血期间患者的心理应激状态,降低输血不良反应发生风险。Objective To investigate whether the psychological counseling nursing could alleviate psychological stress and reduce the incidence of adverse events in patients receiving advanced autologous apheresis(AAA) treatment. Methods A total of 253 patients who underwent AAA treatment in our department from September 2019 to February 2020 were studied and randomly divided into the observation group(n=127) and the control group(n=126). Other than the routine nursing, the patients in the observation group also received psychological counseling nursing. The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to compare the psychological stress state and the incidence of adverse events between two groups, and the nursing satisfaction was evaluated by NSNS scores. Results The SAS and SDS scores in the observation group( after receiving counseling nursing as the psychological intervention) were 30.03±5.06 and 33.59±4.49, respectively, significantly lower than those in the control group(43.55±3.68 and 42.18±4.22, respectively)(P<0.05). The incidences of adverse events(convulsions not included) in the observation group and the control group were 11.8%(15/127) vs 26.2%(33/126)(palpitation and shortness of breath), 6.3%(8/127) vs 16.7%(21/126)(sweating), 8.7%(11/127) vs 23.8%(30/126)(dizziness and numbness in mouth), and 5.5%(7/127) vs 19.8%(30/126)(nausea), respectively(P<0.05). The total nursing satisfaction rate of the observation group was 98.4%(125/127), which was significantly higher than that of the control group(92.9%, 117/126)(P<0.05). Conclusion The psychological counseling nursing can effectively relieve the psychological stress of patients receiving AAA treatment and reduce the incidence of adverse events.

关 键 词：单采深度自体储血 心理疏导 心理应激 不良反应 护理满意度 自体输血 

分 类 号：R473[医药卫生—护理学] R457.1[医药卫生—临床医学]