传染病院血浆置换患者输血焦虑的护理干预.docVIP

传染病院血浆置换患者输血焦虑的护理干预 　　【摘要】 目的 探讨护理干预对于传染病院血浆置换患者输血焦虑的影响。方法 90例接受血浆置换治疗的重型肝炎患者， 随机分为干预组和对照组， 每组45例。干预组采用多项人文关怀的护理干预措施， 对照组应用常规专科护理。两组干预前后均采用焦虑自评量表（SAS）进行评分， 并比较两组患者对血浆置换的接受程度及满意度。结果 干预后干预组SAS评分（40.0±8.2）分优于对照组（47.2±9.6）分， 差异具有统计学意义（P0.05）。干预后干预组对血浆置换的接受程度及满意度均优于对照组， 差异具有统计学意义（P0.05）。结论 护理干预是减轻传染性疾病患者输血焦虑的有效方法， 是促进患者康复的重要措施之一。 　　【关键词】 血浆置换；输血；焦虑；护理干预 　　DOI：10.14163/j.cnki.11-5547/r.2016.17.151 　　Nursing intervention of blood transfusion anxiety in plasma exchange patients of infectious disease hospital CONG Wen-qing， WANG Ming-min. Qingdao City Sixth People’s Hospital， Qingdao 266000， China 　　【Abstract】 Objective To investigate influence by nursing intervention on blood transfusion anxiety in plasma exchange patients of infectious disease hospital. Methods A total of 90 severe hepatitis patients receiving plasma exchange were randomly divided into intervention group and control group， with 45 cases in each group. The intervention group received nursing intervention by multiple humanistic care measures， and the control group received conventional and specific nursing. Self-rating anxiety scale （SAS） were taken in both groups before and after treatment， and comparison was made on plasma exchange acceptance level and satisfaction degree between the two groups. Results The intervention group had better SAS score as （40.0±8.2） points after intervention than （47.2±9.6） points of the control group， and their difference had statistical significance （P0.05）. The intervention group had better plasma exchange acceptance level and satisfaction degree after intervention than the control group， and their difference had statistical significance （P0.05）. Conclusion As one of the important measures for accelerating rehabilitation， nursing intervention is an effective method to reduce blood transfusion anxiety in infectious disease patients. 　　【Key words】 Plasma exchange； Blood transfusion； Anxiety； Nursing intervention 　　血浆置换疗法是在短时间内除去机体血浆中的致病因子， 如自身抗体、免疫复合物、补体产物等， 并调节机体免疫系