行为阶段-交谈方式对应式心理引导在白血病患儿造血干细胞移植围术期的应用价值  

Application value of psychological guidance based on behavioral stage-conversation mode in perioperative period of hematopoietic stem cell transplantation in children with leukemia

作　　者：李雪雁 王纳[1] 魏海霞 LI Xueyan;WANG Na;WEI Haixia(The Third Ward,Department of Pediatric Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院小儿内科三病区,450052

出　　处：《中国健康心理学杂志》2024年第9期1363-1367,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:202302192)。

摘　　要：目的:基于行为阶段-交谈方式对应式心理引导在白血病患儿造血干细胞移植围术期的应用价值。方法:选取2021年10月至2023年10月,某院收治的78例白血病患儿为研究对象,按随机数字表法,分成对照组(常规护理干预,n=39)和研究组(基于行为阶段-交谈方式对应式心理引导干预,n=39)。比较两组患儿心理状态[儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)]、疾病感知压力[压力知觉量表(CPSS)]、疾病进展恐惧情况[恐惧疾病进展简化量表(FoP-Q-SF)]、生活质量[生活质量核心量表(QLQ-C30)]以及家长护理满意度的差异。结果:干预后,两组患儿心理状态SCARED、DSRSC评分低于同组干预前,且研究组SCARED、DSRSC评分低于对照组(t=11.363,11.982;P<0.05);两组患儿的疾病感知压力CPSS评分低于同组干预前,且研究组低于对照组(t=7.449,P<0.05);两组患儿疾病进展恐惧情况FoP-Q-SF评分低于同组干预前,且研究组FoP-Q-SF评分低于对照组(t=8.341,P<0.05);两组患儿生活质量QLQ-C30评分高于同组干预前,且研究组生活质量评分高于对照组(t=7.206,P<0.05);研究组患儿家长的护理满意度为94.87%高于对照组的76.92%(χ^(2)=5.186,P<0.05)。结论:针对白血病患儿,造血干细胞移植围术期实施基于基于行为阶段-交谈方式对应式心理引导,能够改善患儿的心理状态,缓解患儿及家属的疾病感知压力与疾病进展恐惧情况,提高患儿的生活质量及家长护理满意度。Objective:To explore the application value of psychological guidance based on behavioral stage-conversation mode in perioperative period of hematopoietic stem cell transplantation in children with leukemia.Methods:A total of 78 children with leukemia admitted to the hospital were enrolled as the research objects between October 2021 and October 2023.According to random number table method,they were divided into control group(routine nursing,n=39)and study group(psychological guidance intervention based on behavioral stage-conversation mode,n=39).The psychological state[The Screen for Child Anxiety Related Emotional Disorders(SCARED),Depression Self-rating Scale for Children(DSRSC)],disease-perceived stress[Chinese Perceived Stress Scale(CPSS)],fear of disease progression[Fear of Progression Questionnaire Short Form(FoP-Q-SF)],quality of life[quality of life-core 30(QLQ-C30)]and parental nursing satisfaction were compared between the two groups.Results:After intervention,scores of SCARED and DSRSC were decreased in both groups,which were lower in study group than control group(t=11.363,11.982;P<0.05).After intervention,CPSS score was decreased in both groups,which was lower in study group than control group(t=7.449,P<0.05).After intervention,FoP-Q-SF score was decreased in both groups,which was lower in study group than control group(t=8.341,P<0.05).After intervention,QOL QLQ-C30 score was increased in both groups,which was higher in study group than control group(t=7.206,P<0.05).The parental nursing satisfaction in study group was higher than that in control group(χ^(2)=5.186,P<0.05).Conclusion:Psychological guidance based on behavioral stage-conversation mode can improve psychological state in perioperative period of hematopoietic stem cell transplantation in children with leukemia,relieve disease-perceived stress and fear of disease progression in children and family members,improve children's quality of life of and parental nursing satisfaction.

关 键 词：白血病患儿 造血干细胞移植 围术期 行为阶段 交谈方式 心理引导 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]