血造干细胞移植的心理社会评估实践:一项全国调查研究
Lori Wiener1, Timothy Sannes2, Jill Randall3
1National Cancer Institute.
Research square
|July 18, 2023
概括
血液造血干细胞移植 (HSCT) 患者和护理人员缺乏心理社会护理标准. 常规评估和验证的工具很少被使用,这凸显了移植支持的关键差距.
科学领域:
- 血液学 血液学 血液学
- 心理学 心理学 心理学
- 在瘤学瘤学.
背景情况:
- 心理健康显著影响血液造血干细胞移植 (HSCT) 的医疗结果.
- 目前对HSCT患者及其护理人员的心理社会护理缺乏标准化的评估和支持协议.
- 这种变化影响了接受HSCT的个体的综合护理连续.
研究的目的:
- 评估目前对接受HSCT的患者和护理人员的心理社会评估实践.
- 发现常规心理社会评估和使用验证的措施的差距.
- 在HSCT中为标准化心理社会护理指南的制定提供信息.
主要方法:
- 通过专业组织Listservs.向参与HSCT护理的临床医生分发了一份调查.
- 该调查评估了HSCT患者及其家庭护理人员目前的心理社会评估实践.
- 用描述性统计和双变量分析来分析收集的数据.
主要成果:
- 虽然96%的临床医生在HSCT前评估患者,但只有10.6%使用经过验证的风险评估工具.
- 常规的后续心理社会评估很少发生 (患者为27%,护理人员为13%).
- 只有47%的临床医生在HSCT前经常评估护理人员的心理社会需求,社会工作者是主要评估者.
结论:
- 在HSCT患者和护理人员的心理社会评估实践中存在重大不一致.
- 该研究强调了在整个HSCT护理连续过程中需要标准化心理社会评估工具和协议.
- 提出了建议,以解决发现的差距,并改善HSCT环境中的心理社会支持.
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