造血干细胞移植患儿创伤后应激障碍变化及影响因素分析  

Changes in post-traumatic stress disorder status among children receiving hematopoietic stem cell transplantation:the influencing factors

作　　者：周雪梅 姚文英[3] 张清[2] 凌婧 胡绍燕[2] 朱小平[1] Zhou Xuemei;Yao Wenying;Zhang Qing;Ling Jing;Hu Shaoyan;Zhu Xiaoping(Quality Management Office,Zhongnan Hospital of Wuhan University/Second Clinical College of Wuhan University,Wuhan 430062,China)

机构地区：[1]武汉大学中南医院/武汉大学第二临床学院质量管理办公室,湖北武汉430062 [2]苏州大学附属儿童医院血液科 [3]苏州大学附属儿童医院护理部

出　　处：《护理学杂志》2023年第23期77-79,94,共4页Journal of Nursing Science

基　　金：苏州市科技发展计划项目(SKY202048);苏州市“科教兴卫”青年科技项目(KJXW202024)。

摘　　要：目的 调查造血干细胞移植患儿创伤后应激障碍状态及影响因素,为实施针对性干预提供参考。方法 选取造血干细胞移植患儿148例,应用创伤后应激障碍症状自评量表在造血干细胞移植前(入层流室前1~2 d,T1)、移植后2~3周(T2)、移植后3个月(T3)进行调查,并分析其影响因素。结果 造血干细胞移植患儿在T1、T2、T3创伤后应激障碍发生率分别为12.8%、69.6%、10.1%。年龄对患儿移植前及移植后3个月创伤后应激障碍产生影响,照顾者与患儿关系对其移植后2~3周产生影响(均P<0.05)。结论 患儿移植期间创伤后应激障碍水平呈动态变化,在造血干细胞移植过程中,护理人员应重视年长儿以及母亲照顾者患儿的心理护理。Objective To explore the trend of post-traumatic stress disorder(PTSD) status in children receiving hematopoietic stem cell transplantation(HSCT),to analyze the influencing factors,and to provide a reference for targeted intervention.Methods A total of 148 children who were to receive HSCT were selected and surveyed with the PTSD CheckList-Civilian Version(PCL-C) for 4 waves:1-2 days before entering the room with laminar air flow(T1),2-3 weeks after HSCT(T2),and 3 months after HSCT(T3).The influencing factors of PTSD status were probed.Results The rate of PTSD among children receiving HSCT was 12.8%,69.6%,and 10.1% at T1,T2 and T3,respectively.Age had a significant effect on PTSD score at T1 and T3,and caregiver child-relationship had a significant effect on PTSD score at T2(all P<0.05).Conclusion Children′s PTSD level was in dynamical change during transplantation.Nursing staff should pay attention to the psychological care of older children and those who were tended to by their mother.

关 键 词：血液病 造血干细胞移植 创伤后应激障碍 儿童 心理护理 

分 类 号：R473.72[医药卫生—护理学]