血液造血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 S Sannes2, Jill Randall3
1Pediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, MD, USA. lori.wiener@nih.gov.
Bone marrow transplantation
|August 26, 2023
概括
血造干细胞移植 (HSCT) 患者和护理人员的心理社会护理缺乏标准化的评估和跟进. 这项研究揭示了例行心理社会评估中的重大差距,影响了移植结果.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学
- 心理社会瘤学
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.
- 现有的心理社会护理差距可能会对患者和护理人员的福祉和移植成功产生负面影响.
研究的目的:
- 调查目前对接受HSCT的患者和护理人员的心理社会评估实践.
- 在HSCT课程中识别心理社会评估标准化和常规应用方面的缺陷.
- 为改善HSCT心理社会护理标准提供建议.
主要方法:
- 一项调查通过专业组织Listservs. 分发给参与HSCT护理的临床医生.
- 该调查收集了关于HSCT患者和家庭护理人员当前心理社会评估实践的数据.
- 用描述性统计和双变量分析来总结和分析调查结果.
主要成果:
- 虽然96%的临床医生在HSCT前经常评估患者,但只有10.6%的临床医生使用了经过验证的风险评估工具.
- 只有27%的患者和13%的护理人员进行了例行随访心理社会评估.
- 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.
- 非常需要标准化,验证的心理社会评估工具和常规后续协议.
- 实施标准化护理对于优化整个HSCT连续性的心理社会支持至关重要.
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