白血病患者层流病房化疗期间心理变化特点分析

Analysis of Psychological Characteristic on Patients with Leukemia in Laminar Air Flow Room during Chemotherapy

目的观察层流病房环境对白血病化疗患者的心理影响,探讨心理护理干预措施。方法 120名白血病化疗患者随机分为对照组及研究组,其中对照组60名在普通病房接受化疗,研究组60名进入层流病房隔离化疗,采用HAMA及HDSD对两组患者进行心理评估,对比两组患者不同时间心理变化。结果两组患者化疗前HAMA及HDSD评分无显著差异,进入层流病房后研究组HAMA评分高于对照组,HRDS评分两组患者无显著差异,化疗1周后,观察组HAMA评分下降,HRDS评分上升,均高于对照组,化疗结束后两组HAMA评分无显著差异,研究组HRDS评分高于对照组。结论白血病患者进入层流病房早期容易诱发焦虑心理,而伴随时间延长容易产生抑郁心理,要针对不同时期的心理特点给予心理护理干预措施。

Objective To observed the effect of surroundings in laminar air flow room to psychological stage on patients with leukemia during chemotherapy（CT）,and investigate the intervention measure of mental nursing.Methods Totally 120 cases of patients with leukemia who would accept CT were randomly divided into control groups and research group,the patients in control received treatment in common room and patients in research group received treatment in laminar air flow room,all patients accepted psychological assessment with hamilton anxiety scale（HAMA）and hamilton depression scale（HDRS）,and psychological characteristic in different time were contrast.Results The scale of HAMA and HDRS were identical before CT in two groups,the scale of HAMA was higher and HDRS was identical after going into laminar air flow room in research group than in control group,the scale of HAMA was decreasing and HDRS was increasing in research group.All scale was higher than in control,the scale of HAMA was identical and HDRS was higher after CT in research group than in control groups.Conclusion Anxiety and depression was induced in later stage on patients with leukemia who would accept CT in laminar air flow room,the intervention measure of mental nursing must be taken according to different psychological stage.