中华现代护理杂志2024,Vol.30Issue(17) :2336-2341.DOI:10.3760/cma.j.cn115682-20231016-01532

造血干细胞移植后患者自我调节疲劳现状及其影响因素分析

Current status and influencing factors of self-regulatory fatigue in patients after hematopoietic stem cell transplantation

张瑛琪 贾萌 吴盈 钱迪 李亚文 李云峰
中华现代护理杂志2024,Vol.30Issue(17) :2336-2341.DOI:10.3760/cma.j.cn115682-20231016-01532

造血干细胞移植后患者自我调节疲劳现状及其影响因素分析

Current status and influencing factors of self-regulatory fatigue in patients after hematopoietic stem cell transplantation

张瑛琪 1贾萌 2吴盈 1钱迪 2李亚文 2李云峰3
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作者信息

  • 1. 潍坊医学院护理学院,潍坊 261053
  • 2. 山东第一医科大学护理学院,济南 271016
  • 3. 山东第一医科大学第一附属医院(山东省千佛山医院)质控处,济南 250014
  • 折叠

摘要

目的 调查造血干细胞移植(HSCT)后患者自我调节疲劳现状,并分析其影响因素.方法 采用便利抽样法,选取2022年3月—2023年9月在山东第一医科大学第一附属医院(山东省千佛山医院)血液科住院及门诊随访治疗的161例HSCT患者为研究对象,采用一般资料调查表、自我调节疲劳量表(SRF-S)、领悟社会支持评定量表、心理弹性量表和医学应对方式问卷对患者进行调查.采用Pearson相关分析调查HSCT后患者自我调节疲劳水平与领悟社会支持、心理弹性、医学应对方式的相关性.采用多重线性回归分析探究HSCT后患者自我调节疲劳的影响因素.结果 本研究共发放问卷161份,回收有效问卷156份,问卷有效回收率为96.89%(156/161).156例HSCT后患者SRF-S总分为(49.06±6.62)分,多重线性回归分析结果显示,现阶段工作或生活状态、领悟社会支持、心理弹性及回避、屈服应对方式是HSCT后患者自我调节疲劳的影响因素(P<0.05).结论 HSCT后患者广泛存在自我调节疲劳,心理痛苦有待改善,医护人员应定期对患者的自我调节疲劳水平进行评估,并根据相关影响因素制订针对性的干预措施,以降低患者的自我调节疲劳程度,改善其预后及心理状态.

Abstract

Objective To investigate the current status of self-regulatory fatigue in patients after hematopoietic stem cell transplantation(HSCT)and analyze its influencing factors.Methods From March 2022 to September 2023,convenience sampling was used to select 161 HSCT patients who were hospitalized and followed up in the Hematology Department of a Class Ⅲ Grade A hospital in Jinan City.A survey was conducted on patients using the General Information Questionnaire,Self-Regulatory Fatigue Scale(SRF-S),Perceived Social Support Scale,Connor and Davidson Resilience Scale,and Medical Coping Modes Questionnaire.Pearson correlation was used to analyze the correlation between self-regulatory fatigue and perceived social support,psychological resilience,and medical coping styles in patients after HSCT.Multiple linear regression was used to analyze the influencing factors of self-regulatory fatigue in patients after HSCT.Results A total of 161 questionnaires were distributed,and 156 valid questionnaires were collected,with an effective response rate of 96.89%(156/161).The total SRF-S score of 156 patients after HSCT was(49.06±6.62).Multiple linear regression analysis showed that the current work or life status,perceived social support,psychological resilience,avoidance and surrender coping styles were the influencing factors of self-regulatory fatigue in patients after HSCT(P<0.05).Conclusions After HSCT,patients generally experience self-regulatory fatigue,and psychological distress needs improvement.Medical and nursing staff should regularly evaluate the self-regulatory fatigue of patients and develop targeted intervention measures based on influencing factors to reduce the degree of self-regulatory fatigue of patients,improve their prognosis and psychological state.

关键词

造血干细胞移植/自我调节疲劳/社会支持/医学应对方式/影响因素

Key words

Hematopoietic stem cell transplantation/Self-regulatory fatigue/Social support/Medical coping style/Influencing factors

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量14
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