基于叙事护理的个性化心理干预对初次献血者心理状态及不良反应的影响  

Effects of personalized psychological intervention based on narrative nursing on psychological state and adverse reactions of first-time blood donors

作　　者：陈娇艳 张亚兰 苏双报 陈宝婷 CHEN Jiaoyan;ZHANG Yalan;SU Shuangbao;CHEN Baoting(Department of Blood Transfusion,the 910th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force,Quanzhou,Fujian,362000,China;Department of Stomatology,the 910th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force,Quanzhou,Fujian,362000,China)

机构地区：[1]中国解放军联勤保障部队第910医院输血科,福建泉州362000 [2]中国解放军联勤保障部队第910医院口腔科,福建泉州362000

出　　处：《当代医学》2024年第34期167-170,共4页Contemporary Medicine

摘　　要：目的探讨基于叙事护理的个性化心理干预对初次献血者心理状态及不良反应的影响。方法选取2022年1—12月410例于中国解放军联勤保障部队第910医院爱心献血屋初次献血者作为研究对象,按照随机数字表法分为对照组与实验组,每组205例。对照组采取常规护理干预,实验组在对照组的基础上联合叙事护理个性化心理干预。比较两组不良反应发生情况,心理状态[症状自评量表(symptom checklist 90,SCL-90)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]及护理满意度。结果实验组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。干预后,两组SAS、SDS评分均低于干预前,且实验组SAS、SDS均评分低于对照组,SCL-90评分高于干预前和对照组,差异有统计学意义(P<0.05),对照组干预前后SCL-90评分比较差异无统计学意义。实验组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论采取叙事护理的个性化心理干预初次献血者,能减少不良反应,显著缓解初次献血者紧张、焦虑等情绪,提高护理满意度,值得临床推广应用。Objective To explore the effects of personalized psychological intervention based on narrative nursing on the psychological state and adverse reactions of first-time blood donors.Methods A total of 410 first-time blood donors from the 910th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force from January 2022 to December 2022 were selected as the research subjects,and they were divided into the control group and the experimental group according to random number table method,with 205 cases in each group.The control group received routine nursing intervention,and the experimental group added personalized psychological intervention based on narrative nursing on the basis of the control group.The occurrence of adverse reactions,psychological state(symptom checklist 90[SCL-90],self-rating anxiety scale[SAS],self-rating depression scale[SDS])and nursing satisfaction were compared between the two groups.Results The total incidence of adverse reactions in the experimental groups was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the SAS and SDS scores of the two groups were lower than before intervention,and the SAS and SDS scores in the experimental group were lower than those before intervention and the control group,and the SCL-90 scores was higher than that in the control group,and the differences were statistically significant(P<0.05),and there was no significant difference in SCL-90 scores in the control group before and after intervention.The nursing satisfaction in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Personalized psychological intervention of narrative nursing for first-time blood donors can reduce adverse reactions,significantly relieve the tension,anxiety and other emotions of first-time blood donors,and improve nursing satisfaction,which is worthy of clinical promotion and application.

关 键 词：心理干预 初次献血者 心理状态 不良反应 

分 类 号：R47[医药卫生—护理学]