人文关怀护理对血液肿瘤住院患者焦虑抑郁情绪的改善效果探究(1)
【摘要】 目的：观察人文关怀护理干预对血液肿瘤住院患者焦虑抑郁情绪的改善效果。方法：选取2016年1月-2018年10月本院收治的血液肿瘤患者200例。按照随机数字表法将其分为常规组和关怀组，每组各100例。常规组采取常规护理干预直至出院，关怀组采取人文关怀护理干预直至出院。比较两组情绪状态(SDS、SAS评分)、睡眠情况(PSQI评分)、依从性。结果：护理后，关怀组SDS、SAS评分均低于对照组(P<0.001);护理后，关怀组PSQI各维度评分及总分均低于对照组(P<0.001);关怀组依从性好率100%，高于对照组的91.00%(字2=9.424 1，P=0.002 2)。结论：在血液肿瘤住院患者中，采取人文关怀护理干预，可明显减轻患者焦虑、抑郁情况，改善患者睡眠质量，进而提高患者对治疗的依从性。
【关键词】 人文关怀护理; 血液肿瘤; 住院患者; 焦虑抑郁情绪; 改善效果分析
Effect of Humanistic Care Nursing on Anxiety and Depression of Inpatients with Hematological Tumors/YANG Zhiding，SU Jie，WANG Qiongping，et al.//Medical Innovation of China，2019，16(22)：0-099
【Abstract】 Objective：To observe the effect of humanistic care nursing intervention on anxiety and depression of inpatients with hematological tumors.Method：A total of 200 patients with hematological tumors admitted to our hospital from January 2016 to October 2018 were selected.According to the random number table method，they were divided into routine group and care group，100 cases in each group.Routine group received routine nursing intervention until discharge，while care group received humanistic care nursing until discharge.The emotional state(SDS，SAS score)，sleep status(PSQI score)and compliance between two groups were compared.Result：After nursing，the scores of SDS and SAS in care group were lower than those of control group(P<0.001).After nursing，the scores of PSQI each dimension and total scores in care group were lower than those of control group(P<0.001).The good compliance rate of care group was 100%，which was higher than 91.00% of control group(字2=9.424 1，P=0.002 2).Conclusion：In patients with hematological tumors hospitalized，humanistic care nursing intervention can significantly alleviate anxiety and depression，improve sleep quality of patients，and then improve patients’ compliance with treatment.
【Key words】 Humanistic care nursing; Hematological tumors; Inpatients; Anxiety and depression;Improvement effect analysis
First-author’s address：Shenzhen Hospital(Guangming)，University of Chinese Academy of Sciences，Shenzhen 518055，China
doi：10.3969/j.issn.1674-4985.2019.22.025
血液肿瘤是一种临床上恶性程度较高的肿瘤，近年来，我国血液肿瘤患者发病率呈上升趋势，因其具有较高的发病率和致死率，对患者生理、心理影响较大，因此此病患者在住院治疗期间往往存在焦虑、抑郁问题[1]。而心理直接影响生理，患者产生抵触心理，影响睡眠质量，更降低了治疗的依从性，进而为肿瘤的发展提供了温床[2]。目前患者对护理的要求不仅仅停留在疾病护理本身，更注重心理的护理干预，人文关怀护理干预，秉承“以人为本，细心关怀”的护理理念，更细致的為患者服务[3]。本研究选取本院血液科收治血液肿瘤住院患者，进行人文关怀护理干预，取得较好效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2016年1月-2018年10月本院收治的血液肿瘤患者200例。纳入标准：血液系统恶性肿瘤诊断明确;预计生存期>半年;临床资料完整[4]。排除标准：其他系统恶性肿瘤;身体虚弱不耐受相关治疗;精神异常;智力障碍者[5]。按照随机数字表法将其分为常规组和关怀组，各100例。该研究已经医院伦理学委员会批准，患者及家属对研究知情同意。, http://www.100md.com(杨志定 苏杰 王琼萍 彭欢)
【关键词】 人文关怀护理; 血液肿瘤; 住院患者; 焦虑抑郁情绪; 改善效果分析
Effect of Humanistic Care Nursing on Anxiety and Depression of Inpatients with Hematological Tumors/YANG Zhiding，SU Jie，WANG Qiongping，et al.//Medical Innovation of China，2019，16(22)：0-099
【Abstract】 Objective：To observe the effect of humanistic care nursing intervention on anxiety and depression of inpatients with hematological tumors.Method：A total of 200 patients with hematological tumors admitted to our hospital from January 2016 to October 2018 were selected.According to the random number table method，they were divided into routine group and care group，100 cases in each group.Routine group received routine nursing intervention until discharge，while care group received humanistic care nursing until discharge.The emotional state(SDS，SAS score)，sleep status(PSQI score)and compliance between two groups were compared.Result：After nursing，the scores of SDS and SAS in care group were lower than those of control group(P<0.001).After nursing，the scores of PSQI each dimension and total scores in care group were lower than those of control group(P<0.001).The good compliance rate of care group was 100%，which was higher than 91.00% of control group(字2=9.424 1，P=0.002 2).Conclusion：In patients with hematological tumors hospitalized，humanistic care nursing intervention can significantly alleviate anxiety and depression，improve sleep quality of patients，and then improve patients’ compliance with treatment.
【Key words】 Humanistic care nursing; Hematological tumors; Inpatients; Anxiety and depression;Improvement effect analysis
First-author’s address：Shenzhen Hospital(Guangming)，University of Chinese Academy of Sciences，Shenzhen 518055，China
doi：10.3969/j.issn.1674-4985.2019.22.025
血液肿瘤是一种临床上恶性程度较高的肿瘤，近年来，我国血液肿瘤患者发病率呈上升趋势，因其具有较高的发病率和致死率，对患者生理、心理影响较大，因此此病患者在住院治疗期间往往存在焦虑、抑郁问题[1]。而心理直接影响生理，患者产生抵触心理，影响睡眠质量，更降低了治疗的依从性，进而为肿瘤的发展提供了温床[2]。目前患者对护理的要求不仅仅停留在疾病护理本身，更注重心理的护理干预，人文关怀护理干预，秉承“以人为本，细心关怀”的护理理念，更细致的為患者服务[3]。本研究选取本院血液科收治血液肿瘤住院患者，进行人文关怀护理干预，取得较好效果，现报道如下。
1 资料与方法
1.1 一般资料 选取2016年1月-2018年10月本院收治的血液肿瘤患者200例。纳入标准：血液系统恶性肿瘤诊断明确;预计生存期>半年;临床资料完整[4]。排除标准：其他系统恶性肿瘤;身体虚弱不耐受相关治疗;精神异常;智力障碍者[5]。按照随机数字表法将其分为常规组和关怀组，各100例。该研究已经医院伦理学委员会批准，患者及家属对研究知情同意。, http://www.100md.com(杨志定 苏杰 王琼萍 彭欢)