摘要
目的探讨家庭守护模式对异基因造血干细胞移植患者治疗配合度及不良情绪的影响。方法随机抽样法将2018年6月至2020年6月行异基因造血干细胞移植的100例患者分为对照组与研究组,每组50例,对照组给予基础护理,研究组给予基础护理联合家庭守护模式干预,比较患者治疗配合度(Franfl量表)、不良情绪改善情况[心理状态剖面图(POMS)]、生存质量情况[生命质量测定量表(QLQ-30)]。结果实施前患者Frankl评分、POMS评分、QLQ-30评分差异无统计学意义(P>0.05),实施后14 d研究组Frankl评分1分及2分患者例数低于对照组(P<0.05),而评分3分、4分患者例数高于对照组(P<0.05),POMS评分疲劳状态、抑郁情绪、愤怒情绪、紧张情绪、慌乱情绪低于对照组(P<0.05),精力状况、自我相关情绪评分高于对照组(P<0.05),QLQ-30评分高于对照组(P<0.05)。结论将家庭守护模式应用于异基因造血干细胞移植患者基础护理工作中,可有效提高患者治疗配合度,改善其不良情绪对治疗等工作造成的影响,提高预后生存质量,保证治疗与护理工作的顺利开展,该模式具有较高临床应用价值。
Objective To investigate the effects of family guardianship mode on the treatment cooperation and bad mood of patients undergoing allogeneic hematopoietic stem cell transplantation.Methods One hundred patients who underwent allogeneic hematopoietic stem cell transplantation in our hospital from June 2018 to June 2020 were enrolled in the study,who were randomly divided into control group and research group,with 50 cases in each group.The patients in control group were treated by routine nursing,however,the patients in research group,on the basis of control group,were treated by the nursing based on family guardianship mode.The treatment cooperation degree(Franfl rating scales)and bad mood(POMS)as well as life quality(QLQ-30 rating scales)were observed and compared between the two groups.Results Before treatment,there were no significant differences in the Frankl scores,POMS scores and QLQ-30 scores between the two groups(P>0.05).After 14-day treatment,the patients with 1-2 points of Frankl score in research group were significantly less than those in control group(P<0.05),however,those with 3-4 points were significantly more than those in control group(P<0.05).And the POMS scores(negative mood and fatigue status)in research group were significantly lower than those in control group(P<0.05),however,the scores of energy and related emotion were significantly higher than those in control group(P<0.05).In addition the QLQ-30 scores in research group were significantly higher than those in control group(P<0.05).Conclusion The application of family guardianship mode in the nursing for patients who undergo allogeneic hematopoietic stem cell transplantation can effectively improve the treatment cooperation degree of patients,improve the prognosis and life quality of patients,and ensure the smooth development of treatment and nursing work.This mode has higher clinical application value.
作者
戴梅
濮益琴
赵晓茜
DAI Mei;PU Yiqin;ZHAO Xiaoxi(Department of Hematology,Jiangsu People’s Hospital,Jiangsu,Nanjing 210029,China)
出处
《河北医药》
CAS
2021年第22期3452-3454,3458,共4页
Hebei Medical Journal
关键词
家庭守护模式
异基因造血干细胞移植
治疗配合度
不良情绪
family guard mode
allogeneic hematopoietic stem cell transplantation
treatment cooperation degree
bad mood
