心理护理对造血干细胞移植患者负性情绪和心理一致感的影响

Effect of psychological nursing on negative emotions and sense of coherence among patients with hematopoietic stem cell transplant

目的探讨心理护理对造血干细胞移植患者负性情绪和心理一致感的影响。方法采用便利抽样法,根据入院先后顺序将2021年3月—10月医院收治的180例造血干细胞移植患者分为对照组(n=90)和研究组(n=90)。对照组实施常规护理,研究组在常规护理的基础上,依据心理一致感的3个因素制定并实施心理护理方案。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理一致感(SOC-13)量表评分。结果干预后,两组SAS评分和SDS评分均较干预前降低,且研究组SAS评分和SDS评分均低于对照组,差异有统计学意义(P<0.01)。干预后,研究组SOC-13量表各项得分及总分较对照组提高,差异有统计学意义(P<0.01)。结论根据心理一致感的3个因素进行心理护理的制定并实施,可有效缓解造血干细胞移植患者负面情绪,提高心理一致感水平,对改善患者生活质量具有积极意义。

Objective To explore the effect of psychological nursing on relief of negative emotions and improving sense of coherence of patients with hematopoietic stem cell transplant.Methods Totally 180 patients with hematopoietic stem cell transplant were selected by a conve⁃nience sampling method.According to the sequence of admission,the patients were divided into the control group(n=90)and the study group(n=90).All patients received routine nursing care during the treatment.In the study group,psychological nursing plan according to three factors of“the sense of coherence(SOC)”was carried out.The scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Sense of Coherence(SOC-13)Scale were compared between the two groups.Results The SAS and SDS scores decreased in both control group and study group after intervention,and SAS and SDS scores in the study group were lower than those in the control group(P<0.01).The total score of SOC-13 in the study group was higher than that in the control group after intervention(P<0.01).Conclusion The establishment and implementa⁃tion of psychological nursing plan based on the three factors of SOC can effectively alleviate nega⁃tive emotions,improve the level of SOC among patients with hematopoietic stem cell transplant.