人文关怀护理对老年多发性骨髓瘤化疗患者情绪、睡眠及生活质量的影响  

The effect of humanistic care on emotions,sleep quality and quality of life in elderly multiple myeloma patients undergoing chemotherapy

作　　者：李艳[1] 冯玉虎[1] 仲飞 LI Yan;FENG Yuhu;ZHONG Fei(Fuyang People's Hospital Department of hematology,Fuyang 236000,China)

机构地区：[1]阜阳市人民医院血液内科,阜阳236000 [2]安徽医科大学附属阜阳医院肿瘤科

出　　处：《国际精神病学杂志》2024年第4期1312-1314,1322,共4页Journal Of International Psychiatry

基　　金：安徽省学术和技术带头人科研活动经费资助项目(编号:2018H175)。

摘　　要：目的探讨对老年多发性骨髓瘤化疗患者实施人文关怀护理对其心理情绪、睡眠质量,生活质量的改善效果。方法于2019年6月~2022年12月采集医院病例资料入档,对象为多发性骨髓瘤化疗的老年病患,共计纳入100例,基于“随机数字表法”分组,对照组与观察组各50例,分别予以常规护理与常规护理+人文关怀护理;观察对比负面情绪、心理弹性,睡眠质量,生活质量。结果干预后,两组焦虑自评量表(Self Rating Anxiety Scale,SAS)评分,抑郁自评量表(Self Rating Depression Scale,SDS)评分均有不同程度降低,且观察组降幅较对照组大(P<0.05);干预后,两组心理弹性量表(CD-RISC)评分均升高,其中观察组更高(P<0.05);治疗后,观察组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分明显低于对照组(P<0.05);干预后,两组生活质量评定问卷(GQOLI-74)评分均呈不同程度升高,且观察组较对照组升幅更大(P<0.05)。结论对老年多发性骨髓瘤化疗患者实行人文关怀护理,可有效改善患者焦虑、抑郁状态等负面情绪,提高心理弹性,维持积极乐观的心理状态,并可改善患者睡眠状态,保障良好生活质量。Objective To explore the effect of humanistic care on emotions,sleep quality and quality of life in elderly multiple myeloma patients undergoing chemotherapy.Methods From January 2019 to December 2022,the hospital case data were collected and filed.The subjects were the elderly patients with Multiple myeloma undergoing chemotherapy.A total of 100 patients were included.Based on the"random number table method",they were divided into the control group and the observation group.50 patients were included in both groups,and were given routine care and routine care+humanistic care care,respectively;The negative emotions,Psychological resilience,sleep quality and quality of life were compared between two groups.Results After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,and the observed group showed a greater decrease than the control group(P<0.05).After the intervention,the scores of the Psychological resilience scale(CD-RISC)in both groups increased,and those in the observation group were higher(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score in the observation group was significantly lower than that in the control group(P<0.05).After intervention,both groups showed varying degrees of improvement in the quality of life assessment questionnaire(GQOLI-74)scores,and the observation group showed a greater increase than the control group(P<0.05).Conclusion Humanistic care for elderly multiple myeloma patients undergoing chemotherapy can effectively improve their anxiety and depression,improve their psychological resilience,maintain a positive and optimistic psychological state,and improve their sleep status to ensure a good quality of life.

关 键 词：人文关怀护理 多发性骨髓瘤 负面情绪 睡眠质量 生活质量 

分 类 号：R740.05[医药卫生—神经病学与精神病学]