世界睡眠医学杂志2024,Vol.11Issue(4) :732-734,738.DOI:10.3969/j.issn.2095-7130.2024.04.005

分析Peplau人际关系理论联合"5A"干预措施对造血干细胞移植患者希望水平及睡眠质量的影响

Analyzing the Impact of Peplau's Interpersonal Relationship Theory Combined with"5A"Intervention Measures on the Hope Level and Sleep Quality of Hematopoietic Stem Cell Transplant Patients

杨燕琼 陆婧媛
世界睡眠医学杂志2024,Vol.11Issue(4) :732-734,738.DOI:10.3969/j.issn.2095-7130.2024.04.005

分析Peplau人际关系理论联合"5A"干预措施对造血干细胞移植患者希望水平及睡眠质量的影响

Analyzing the Impact of Peplau's Interpersonal Relationship Theory Combined with"5A"Intervention Measures on the Hope Level and Sleep Quality of Hematopoietic Stem Cell Transplant Patients

杨燕琼 1陆婧媛1
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作者信息

  • 1. 福建省厦门市厦门大学附属中山医院,厦门,361001
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摘要

目的:分析Peplau人际关系理论联合"5A"干预措施对造血干细胞移植患者希望水平及睡眠质量的影响.方法:选取2021年1月至2023年7月福建省厦门市厦门大学附属中山医院收治的造血干细胞移植(HSCT)患者66例作为研究对象,按照随机数字表法分为对照组和观察组,每组33例.对照组给予常规护理干预,观察组给予人际关系理论联合"5A"干预.采用希望水平(HHI)量表比较2组患者干预前、干预后对现实/未来的积极态度(T)和他人保持亲密关系(I)、实施积极行动(P)3个维度的变化情况,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用自我效能量表(GSES)比较2组患者干预前后自我效能的差异,采用生命质量量表(QOL)对2组患者的生命质量进行比较.结果:干预后,观察组对现实、未来的积极态度(T)评分和他人保持亲密关系(I)评分、实施积极行动(P)评分、自我效能感(GSES)评分、生命质量(QOL)评分均显著高于对照组,干预后观察组匹兹堡睡眠质量(PSQI)评分均显著低于对照组,差异有统计学意义(P<0.05).结论:Peplau人际关系理论联合"5A"干预措施对提升HSCT患者希望水平,改善其睡眠质量、增强其自我效能感,提高其生命质量具有积极作用,值得临床推广应用.

Abstract

Objective:To analyze the effects of Peplau's interpersonal relationship theory combined with"5A"intervention meas-ures on the hope level and sleep quality of hematopoietic stem cell transplant patients.Methods:A total of 66 patients with hema-topoietic stem cell transplantation(HSCT)admitted to Xiamen University Affiliated Zhongshan Hospital in Xiamen,Fujian Prov-ince,from January 2021 to July 2023 were selected as the study subjects.Using a random number table method,they were random-ly divided into an observation group and a control group,with 33 cases in each group.The control group received routine nursing intervention,while the observation group received a combination of interpersonal relationship theory and 5 A intervention.Using the Hope Level(HHI)scale to compare the changes in three dimensions of positive attitudes towards reality/future(T),maintaining intimate relationships with others(I),and implementing positive actions(P)between two groups of patients before and after inter-vention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between the two groups of patients,the Self Efficacy Scale(GSES)to compare the differences in self-efficacy between two groups of patients before and after intervention,and the Quality-of-Life Scale(QOL)to compare the quality of life between the two groups of patients.Results:After intervention,the observation group had significantly higher scores in positive attitudes towards reality and the future(T),maintai-ning intimate relationships with others(I),implementing positive actions(P),self-efficacy(GSES),and quality of life(QOL)compared to the control group.After intervention,the Pittsburgh sleep quality(PSQI)score was significantly lower than the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The combination of Peplau's interpersonal relationship theory and"5 A"intervention measures has a positive effect on improving the hope level of HSCT pa-tients,improving their sleep quality,enhancing their self-efficacy,and enhancing their quality of life.It is worthy of clinical promo-tion and application.

关键词

Peplau人际关系理论/常规护理/"5A"干预措施/造血干细胞移植/希望水平/睡眠质量/自我效能感/生命质量

Key words

Peplau interpersonal relationship theory/Routine care/5A intervention measures/Hematopoietic stem cell trans-plantation/Hope level/Sleep quality/Self-efficacy/Quality of life

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基金项目

厦门市科技局自然科学研究项目(3502Z20227100)

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量17
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