恶性血液病患者首次化疗前焦虑情绪分析及愉悦因子输入的干预效果

Patients with hematologic malignancies first chemotherapy intervention effects of anxiety before analysis and pleasure factor input

目的：探讨恶性血液病患者首次化疗前的焦虑情绪及愉悦因子输入的干预效果。方法：将诊断明确的2013年1~12月间本院恶性血液病患者100例作为被试对象,完全随机分入观察组和对照组各50例,全部患者遵医嘱给予常规治疗,对照组实施综合护理,观察组在此基础上给予“一对一”健康教育,输入“个性化的愉悦因子”,zung量表评价首次化疗前后患者情绪状态。结果：“担心成为家庭负担”、“最亲密的人态度不好”、“担心影响生活和工作”、“住院期间与家人关系不好”是影响患者焦虑情绪的重要因素。“愉悦因子”输入前后观察组患者SAS评分显著降低（P〈0.01）,与同期对照组比较有明显差异（P〈0.05）,观察组护理前后SAS评分差值显著高于对照组（P〈0.01）。结论：输入愉悦因子对一定程度上可有效干预首次化疗前恶性血液病患者焦虑情绪的发生,满足患者对社会支持的需要,值得提倡推广。

Objective：To explore the effect of intervention in patients with malignant blood disease first chemotherapy preoperative anxiety and joy factor input. Methods： the diagnosis of 100 cases of patients with hematologic malignancies clear subjects, were randomly divided into observation group and control group with 50 cases in each group, all the patients compliance with regular treatment, the control group to implement the comprehensive nursing, the observation group was given based on the ＆quot;one to one＆quot; health education, input ＆quot;personalized feelgood factor＆quot;, evaluation of Zung scale before and after chemotherapy in patients with emotional state for the first time. The ＆quot;fear become a burden to the family＆quot;, ＆quot;the most intimate person bad attitude＆quot;, ＆quot;worry about the impact of work and life＆quot;, ＆quot;hospital and family relations are not good＆quot; is an important factor influencing the anxiety of patients. ＆quot;Before and after the feelgood factor＆quot; input in the observation group the SAS score decreased significantly （ P〈0.01） , there was significant difference between the control group and the same period （ P〈0.05） , the observation group before and after treatment SAS score difference was significantly higher than that in control group （P〈0.01）. Conclusion：the input feelgood factor can effectively intervention to some extent before the first chemotherapy of malignant blood disease patients have anxiety emotion, to meet with the need for social support, is worth promoting.