摘要
目的探讨健康教育路径在缓解异基因外周血造血干细胞移植供者身心负担、降低捐献过程中的并发症的影响。方法将2015年5月—2017年11月在我区住院的60例异基因外周血造血干细胞移植供者随机分为观察组和对照组,观察组30例给予健康教育路径护理干预,对照组30例给予传统健康教育进行护理干预,比较两组供者护理干预后焦虑状况、血压、心率、动员剂相关的疼痛程度、采集静脉再次穿刺率。结果观察组在干预后焦虑自评量表显示焦虑症状较对照组改善明显(t=-3.380,P<0.05);观察组收缩压、舒张压、心率护理干预后与对照组相比更为平稳(t分别为-11.867、-3.667、-4.623,P<0.05);两组供者疼痛发生率无统计学意义(P>0.05),但观察组疼痛持续时间短于对照组(t=-3.018,P<0.05);两组采集术中再次穿刺率无统计学意义(P>0.05)。结论健康教育路径能缓解造血干细胞移植供者的焦虑程度,缩短动员剂相关疼痛持续时间。
Objective To investigate health education path on alleviating the physical and mental burden of the Allogenic Peripheral Blood Stem Cell Transplantation donors,to reduce the donation process complication.Methods 60 cases of the Allogenic Peripheral Blood Stem Cell Transplantation donors from May 2015 to November 2017 in my area were randomly divided into observation group and control group,30 cases in observation group were given health education path,30 cases in the control group were given traditional health education,compared with two groups of donors before and after nursing intervention anxiety,blood pressure,heart rate,degree of pain related mobilization agent,acquisition Again the vein puncture rate.Results The Self-rating Anxiety Scale of the observation group after nursing intervention showed that the anxiety symptoms were significantly improved compared with the control group( t =-3.380,P <0.05);the observation group for SBP、DBP、heart rate after nursing intervention compared with the control group is more stable( t were -11.867、-3.667、-4.623,P <0.05);There was no statistical significance( P >0.05)in the two groups of Mobilization agent related pain incidence,but the duration of the observation group was shorter than that of the control group( t =-3.018,P <0.05);no significant on the rate of venepuncture again during Stem cell collection process( P >0.05).Conclusion The health education path can alleviate the anxiety level of the Allogenic Peripheral Blood Stem Cell Transplantation donors,Shorten the duration of the associated pain of the mobilization agent.
基金
中山大学附属第三医院院内护理基金(课题编号:201510)
关键词
健康教育路径
造血干细胞移植
供者
Health education pathway
Hematopoietic stem cell transplantation
Donor
