临床路径护理模式对造血干细胞移植患者治疗态度及情绪状态的影响

目的：探讨临床路径护理模式对造血干细胞移植患者治疗态度及情绪状态的影响。方法选取2015年1至6月在我院接受造血干细胞移植治疗的患者80例，按照随机数字表法分观察组和对照组，每组各40例，其中观察组患者接受临床路径护理模式护理，对照组患者接受血液科常规护理。使用 Frank 量表评价患者护理前和护理2周后的治疗态度，使用 POMS 量表和 SCL-90量表评价患者护理前和护理2周后的情绪状态。结果两组患者护理2周后治疗态度评分明显提高(P<0.05)，观察组患者治疗态度评分提高显著优于对照组患者(P<0.05)；两组患者护理2周后疲劳、抑郁、愤怒、紧张、慌乱等评分均显著下降，精力和自我相关情绪评分上升(P<0.05)，观察组患者评分显著优于对照组患者(P<0.05)；两组患者护理2周后躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、恐惧、偏执状况评分均显著下降(P 均<0.05)，观察组患者评分显著优于对照组患者(P<0.05)。结论临床路径护理模式对造血干细胞移植患者治疗态度和情绪状态具有重要意义，能有效改善患者治疗态度和心理状态。

Influence of clinical nursing pathway on treatment attitude and emotional state of the patients undergoing stem cell transplants

Objective To explore the effect of clinical nursing pathway on treatment attitude and emotional state of the patients undergoing stem cell transplants. Methods A total of 80 cases of patients undergoing stem cell transplants in our hospital from January 2015 to June 2015 were selected and divided into an observation group and a control group according to the random number table method, 40 cases in each group. The patients of the observation group received clinical nursing pathway, while the patients of the control group received routine nursing of hematology department. The patients' treatment attitude before nursing and 2 weeks after nursing were assessed by Frank scale. POMS scale and SCL-90 scale were used to evaluate the patients' emotional state before nursing and 2 weeks after nurs-ing. Results 2 weeks after nursing, the score of the two groups' patients' treatment attitude was significantly improved (P<0. 05), the improvement of the score of the observation groups' patients' treatment attitude was significantly better than that of the control group (P<0. 05); the score of fatigue, depression, anger, strain and panic of the patients of the two groups were significantly decreased 2 weeks after nursing, while the score of energy and self-related emotion of the patients of the two groups were improved (P<0. 05), and the score of the observation group's patients was signifi-cantly higher than that of the control group's patients (P<0. 05); the score of somatization, anancastia, interpersonal relationship, depression, anxiety, hostility, fear and paranoia of the two groups' patients 2 weeks after nursing was significantly decreased (P<0. 05), and the score of the observation group's patients was significantly higher than that of the control group (P<0. 05). Conclusion Clinical nursing pathway nursing mode acts an important role in the treat-ment attitude and emotional state of the patients undergoing stem cell transplants.