护士主导的强化心理干预对造血干细胞移植患儿身心恢复的影响  

Effect of Nurse-led Intensive Psychological Intervention on Physical and Mental Recovery in Children Undergoing Hematopoietic Stem Cell Transplantation

作　　者：胡园园[1] 杨理[1] 胡仁辉[1] Hu Yuanyuan;Yang Li;Hu Renhui(Hunan Children′s Hospital,Changsha Hunan 410007,China)

机构地区：[1]湖南省儿童医院,湖南长沙410007

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)。

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.

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 

分 类 号：R473.55[医药卫生—护理学]