护理干预对造血干细胞移植患者术前焦虑的影响

Influence of Nursing Intervention on Preoperative Anxiety in Patients with Hematopoietic Stem Cell Transplantation

目的研究对造血干细胞移植术患者实施护理干预对术前焦虑的影响。方法于2020年7月—2021年7月方便择取该院收治的46例造血干细胞移植术患者为研究对象,将其按照数字随机表法予以分组,每组23例,对照组实施常规护理,研究组在常规护理基础上强化护理干预,对比分析两组临床效果。结果术前12 h,研究组SAS评分(52.33±7.19)分低于对照组,差异有统计学意义(t=2.854,P=0.007);研究组的疲劳评分、抑郁评分、愤怒评分、紧张评分、慌乱评分均低于对照组,精力评分、自尊感评分高于对照组,躯体化评分、强迫状态评分、人际关系评分、焦虑评分、敌对评分、恐惧评分、偏执评分低于对照组,差异有统计学意义(P<0.05);研究组的客观支持评分为(13.52±2.63)分、主观支持评分为(24.99±4.15)分、支持利用度评分为(9.15±1.63)分、社会支持总分为(45.96±7.93)分均高于对照组,差异有统计学意义(t=3.056、2.543、3.939、2.100,P<0.05)。从患者及家属护理满意度分析,研究组总满意度(95.65%)高于对照组(65.22%),差异有统计学意义(χ^(2)=4.973,P=0.026)。结论对于造血干细胞移植术患者来说,护理干预的实施可以改善术前焦虑,使患者心境状况得到改善,减轻症状表现,提高社会支持,使患者及家属更加认可和满意护理服务,临床价值显著。

Objective To study the effect of nursing intervention on preoperative anxiety in patients undergoing hematopoietic stem cell transplantation.Methods From July 2020 to July 2021,46 patients with hematopoietic stem cell transplantation admitted to in the hospital were conveniently selected as the research objects,and they were divided into groups according to the random table method,23 cases in each group.On the basis of routine nursing,nursing intervention was strengthened,and the clinical effects of the two groups were compared and analyzed.Results 12 hours before surgery,the SAS score of the study group(52.33±7.19)points was lower than that of the control group,and the difference was statistically significant(t=2.854,P=0.007).The scores of panic were lower than those of the control group,the scores of energy and self-esteem were higher than those of the control group,the scores of somatization,obsessional state,interpersonal relationship,anxiety,hostility,fear and paranoia were lower than those of the control group,the difference was statistically significant(P<0.05);and the scores of objective support of the study groups was(13.52±2.63)points were lower than those of the control group,the subjective support score was(24.99±4.15)points,the support utilization score was(9.15±1.63)points,and the total social support score was(45.96±7.93)points,which were all higher than those of the control group.and the difference was statistically significant(t=3.056,2.543,3.939,2.100,P<0.05).From the analysis of nursing satisfaction of patients and their families,the total satisfaction of the research group(95.65%)was higher than that of the control group(65.22%),and the difference was statistically significant(χ^(2)=4.973,P=0.026).Conclusion For patients undergoing hematopoietic stem cell transplantation,the implementation of nursing intervention can improve preoperative anxiety,improve patients'mood,reduce symptoms,improve social support,and make patients and their families more recognized and satisfied with nursing services,with significant clinical value.