思维导图指导模式对无偿机采血小板献血者的心理应激反应及配合度的影响  

Effect of mind mapping guidance model on psychological stress response and cooperation degree of unpaid platelet donors

作　　者：曹佩婳 杨洁[2] 孟妍[3] CAO Peihua;YANG Jie;MENG Yan(Department of Quality Assurance,Shanghai Blood Center,Shanghai 200051,China;Department of Engineering,Shanghai Blood Center,Shanghai 200051,China;Department of Donor&Hospital Service,Shanghai Blood Center,Shanghai 200051,China)

机构地区：[1]上海市血液中心质量与法规部质量保证科,上海200051 [2]上海市血液中心工程学科,上海200051 [3]上海市血液中心采供血部,上海200051

出　　处：《现代医药卫生》2023年第5期813-817,共5页Journal of Modern Medicine & Health

基　　金：上海市护理学会科研项目(2018QN-B06)。

摘　　要：目的评价思维导图式指导模式对无偿机采血小板献血者的心理应激反应及配合度的影响。方法选择2021年1-12月进行无偿机初次采集血小板的178例献血者作为研究对象,将其分为对照组(n=88)和观察组(n=90)。对照组采用常规无偿机采血小板模式,而观察组实施思维导图式指导机采血小板。比较两组献血者机采血小板后的心率和血压等生理性指标,采用修订版事件影响量表(IES-R)评估献血者的应激反应,采用简易应对方式问卷(SCSQ)调查献血者的配合度。结果试验前,两组献血者心率、血压比较差异无统计学意义(P>0.05)。机器采集血小板后,观察组心率、收缩压和舒张压均明显低于对照组(P<0.05)。IES-R量表评分比较,观察组应激反应总得分、闯入和回避得分均低于对照组(P<0.05),警觉得分高于对照组(P<0.05)。SCSQ量表评分比较,观察组积极应对得分高于对照组(P<0.05),而消极应对和应对总分低于对照组(P<0.05)。结论应用思维导图模式指导无偿机采血小板能明显减轻应激反应和提高献血配合度。Objective To evaluate the effect of mind mapping guidance model on psychological stress response and cooperation degree of unpaid platelet donors.Methods A total of 178 blood donors who collected platelets for the first time by free machine from January to December 2021 were randomly divided into control group(n=88)and observation group(n=90).The control group adopted the conventional free machine platelet collection mode,while the observation group implemented the thought map to guide the machine platelet collection.The physiological indexes such as heart rate and blood pressure were compared between the two groups.The revised event impact scale(IES-R)was used to evaluate the stress response of blood donors,and the simple coping style questionnaire(SCSQ)was used to investigate the cooperation degree of blood donors.Results Before the experiment,there was no significant difference in heart rate and blood pressure between the two groups(P>0.05).After platelet collection,the heart rate,systolic blood pressure and diastolic blood pressure in the observation group were significantly lower than those in the control group(P<0.05).Compared with the scores of IES-R scale,the total score of stress response,intrusion and avoidance in the observation group were lower than those in the control group(P<0.05),and the vigilance score was higher than that in the control group(P<0.05).Compared with the scores of SCSQ,the scores of positive coping in the observation group were higher than those in the control group(P<0.05),while the total scores of negative coping and coping were lower than those in the control group(P<0.05).Conclusion Applying mind mapping model to guide free mechanical platelet collection can significantly reduce stress response and improve cooperation.

关 键 词：思维导图 机采血小板 应激反应 应对方式 配合度 

分 类 号：R155.5[医药卫生—营养与食品卫生学]