摘要
目的探讨AIDET沟通模式联合接纳承诺疗法对造血干细胞移植患儿的影响。方法选取2021年1月—2022年12月于北京儿童医院行造血干细胞移植患儿64例作为研究对象,将2021年1月—2021年12月移植患儿32例作为对照组,2022年1月—2022年12月移植的患儿32例作为观察组。对照组给予常规心理护理及宣教,观察组以AIDET沟通模式联合接纳承诺疗法进行干预。比较两组干预前及干预6周后的焦虑情绪水平、治疗依从性及家长满意度水平。结果干预后,两组的焦虑情绪水平均低于干预前,且观察组焦虑情绪水平评分低于对照组(P<0.05);两组的治疗依从性水平均高于干预前,且观察组治疗依从性高于对照组(P<0.05)。结论AIDET沟通模式联合接纳承诺疗法可改善造血干细胞移植患儿的焦虑情绪,降低其焦虑抑郁程度,提高患儿的治疗依从性,值得临床推广和借鉴。
Objective To explore the impact of AIDET communication mode combined with acceptance commitment therapy on children undergoing hematopoietic stem cell transplantation.Methods Sixty two children who underwent hematopoietic stem cell transplantation at a tertiary children′s specialized hospital in Beijing from January 2021 to December 2022 were selected as the study subjects.32 children who underwent transplantation from January 2021 to December 2021 were used as the control group,and 32 children who underwent transplantation from January 2022 to December 2022 were used as the observation group.The control group received routine psychological care and education,while the observation group received intervention using AIDET communication mode combined with acceptance commitment therapy.Compare the levels of anxiety,treatment compliance,and parental satisfaction between the two groups before and after 6 weeks of intervention.Results After the intervention,the anxiety levels of both groups were lower than before the intervention,and the anxiety level score of the observation group was lower than that of the intervention group(P<0.05);The level of treatment compliance in both groups was higher than before intervention,and the observation group had higher treatment compliance than the control group(P<0.05);The satisfaction level of parents in both groups was higher than before the intervention.Conclusions The combination of AIDET communication mode and acceptance commitment therapy can improve the anxiety and depression levels of children undergoing hematopoietic stem cell transplantation,reduce their anxiety and depression levels,improve their treatment compliance.It is worth promoting and learning from in clinical practice.
作者
吴思婷
王春立
王莉
陈芳娇
张颖
李怡
WU Siting;WANG Chunli;WANG Li;CHEN Fangjiao;ZHANG Ying;LI Yi(Department of Hematopoietic Stem Cell Transplantation,Beijing Children′s Hospital Affiliated to Capital Medical University,National Children′s Medical Center;Department of Nursing,Beijing Children′s Hospital Affiliated to Capital Medical University,National Children′s Medical Center,Beijing 100045,China)
出处
《中国小儿血液与肿瘤杂志》
CAS
2024年第1期32-35,共4页
Journal of China Pediatric Blood and Cancer
基金
2022年度中华护理专项(ZHKY202202)
中华医学会杂志社2021-2022年护理课题(CMAPH-NRI2021044)。
关键词
AIDET沟通模式
接纳承诺疗法
造血干细胞移植
患儿
效果
AIDET communication mode
Accept commitment therapy
Hematopoietic stem cell transplantation
Children
Effect