心灵瑜伽和叙事护理对造血干细胞移植患者心理干预的研究

Psychological interventional effects of soul yoga and narrative nursing in patients with hematopoietic stem cell transplantation

目的探讨心灵瑜伽和叙事护理对造血干细胞移植患者不良心理反应及睡眠质量的影响。方法查阅文献并结合造血干细胞移植患者的心理特点,制定心灵瑜伽和叙事护理相结合的心理干预策略,通过开展心理护理的“微课堂”培训,将培训内容传达给科室护士。选取中国医学科学院血液病医院移植中心2017年5月至2018年12月行造血干细胞移植患者100例,随机分为对照组和试验组,各50例。入仓当天收集患者的一般资料,并采用症状自评量表(SCL-90)和匹兹堡睡眠质量指数(PSQI)量表评估患者的心理及睡眠状况。移植期间对照组予以造血干细胞移植护理及基础的心理护理,试验组在对照组的基础上每周进行一次心灵瑜伽和叙事护理,每次30 min。所有出仓前再次填写SCL-90和PSQI,进行组间及组内评分比较。结果干预前2组SCL-90评分差异无统计学意义(P>0.05),干预后试验组SCL-90总分及各因子分显著低于对照组,差异有统计学意义(P<0.01)。干预前2组PSQI评分差异无统计学意义[(9.11±2.24)分vs(9.14±2.27)分,P>0.05],干预后试验组PSQI评分显著低于对照组,差异有统计学意义[(5.04±3.21)分vs(8.33±2.41)分,P<0.05]。结论心灵瑜伽和叙事护理干预能够缓解造血干细胞移植患者的心理问题,改善睡眠质量。

Objective To explore the effects of soul yoga and narrative nursing on adverse psychological reactions and sleep quality in patients with hematopoietic stem cell transplantation.Methods By consulting the literature and based on the psychological characteristics of patients with hematopoietic stem cell transplantation,we worked out the psychological intervention of the combination of soul yoga and narrative nursing,and carried out the"micro-classroom"training of psychological nursing to convey the training content to the nurses in the department.A total of 100 patients who underwent hematopoietic stem cell transplantation at the Transplantation Center of Blood Disease Hospital,Chinese Academy of Medical Sciences from May 2017 to December 2018 were randomly divided into either a control group(50 cases)or an experimental group(50 cases).The general data of the patients were collected on the day of entering the warehouse,and the psychological and sleep statuses of the patients were evaluated using the symptom checklist 90(SCI-90)and Pittsburgh sleep quality index(PSQI).During the period of transplantation,the control group was given conventional hematopoietic stem cell transplantation nursing and basic psychological nursing.The experimental group was given soul yoga and narrative nursing once a week for 30 minutes each time.SCI-90 and PSQI were filled in again before leaving the warehouse,then the scores were compared in and between groups.Results There was no significant difference in the scores of SCI-90 between the two groups before intervention(P>0.05).After intervention,the total score of SCI-90 and the scores of each dimension in the experimental group were significantly lower than those in the control group(P<0.01).There was no significant difference in the scores of PSQI between the two groups before intervention(9.11±2.24 vs 9.14±2.27,P>0.05).After intervention,the PSQI score of the experimental group was significantly lower than that of the control group(5.04±3.21 vs 8.33±2.41,P<0.05)].Conclusion The intervention of soul yoga and narrative nursing can alleviate the psychological problems of patients with hematopoietic stem cell transplantation and improve their sleep quality.