摘要
目的观察层流病房环境对白血病化疗患者的心理影响,探讨心理护理干预措施。方法 120名白血病化疗患者,其中对照组60名在普通病房接受化疗,研究组60名进入层流病房隔离化疗,采用HAMA及HRSD对两组患者进行心理评估,对比两组患者不同时间心理变化,并探讨相应的心理护理干预措施。结果两组患者化疗前HAMA及HRSD评分差异无统计学意义,进入层流病房后研究组HAMA评分高于对照组,HRSD评分两组患者差异无统计学意义,化疗1周后,观察组HAMA评分下降,HRSD评分上升,均高于对照组,化疗2周后两组HAMA评分无显著差异,研究组HRSD评分高于对照组。结论白血病患者进入层流病房早期容易诱发焦虑心理,而伴随时间延长容易产生抑郁心理,要针对不同时期的心理特点给予心理护理干预措施。
Objective To observe the effect of surroundings in laminar air flow room to psychological stage on patients with leukemia during chemotherapy,and investigate the intervention measure of mental nursing.Methods Totally 120 cases of patients with leukemia who would accept chemotherapy were randomly divided into control groups and research groups,there was 60 patients in every group,the patients in control received treatment in common room and patients in research groups received treatment in laminar air flow room,all patients accepted psychological assessment with hamilton anxiety scale（HAMA） and hamilton depression scale（HRSD）,and psychological characteristic in different time were contrast and investigated intervention measure of mental nursing.Results The scale of HAMA and HRSD were identical before chemotherapy in two groups,the scale of HAMA was higher and HRSD was identical after going into laminar air flow room in research groups than in control groups,the scale of HAMA was decreasing and HRSD was increasing in research groups.all scale was higher than in control,the scale of HAMA was identical and HRSD was higher two weeks after chemotherapy in research groups than in control groups.Conclusion Anxiety was induced in nonage and depression was induced in later stage on patients with leukemia who would accept chemotherapy in laminar air flow room,the intervention measure of mental nursing must be taken according to different psychological stage.
出处
《医药论坛杂志》
2010年第17期23-25,共3页
Journal of Medical Forum
关键词
层流病房
白血病
焦虑
抑郁
心理护理
Laminar air flow room
Leukemia
Anxiety
Depression
Mental nursing
