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伊朗一家教学医院中器官移植住院患者家庭的心理社会需求

Psychosocial Needs of the Families With Hospitalized Organ Transplant Patients in an Educational Hospital in Iran.

作者信息

Divdar Zahra, Foroughameri Golnaz, Farokhzadian Jamileh, Sheikhbardsiri Hojjat

机构信息

Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Department of Emergency Operation Center (EOC), Disasters and Emergencies Management Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Ther Apher Dial. 2020 Apr;24(2):178-183. doi: 10.1111/1744-9987.13425. Epub 2019 Aug 16.

DOI:10.1111/1744-9987.13425
PMID:31373767
Abstract

Nurses are required to understand and meet the physiological needs of the family members of the patients hospitalized in transplant wards of the hospitals. Considering the importance of this issue, this study aimed to investigate the psychosocial needs of the families with an organ transplant patient. The study employed a cross-sectional design and was conducted in Afzalipour Educational Hospital affiliated to the Kerman University of Medical Sciences in 2018. The 45-item questionnaire of the psychosocial needs was applied to assess the psychosocial needs of the families with an organ transplant patient, including kidney, liver, and bone marrow. The quota sampling method was used and 230 participants completed the survey. Data were analyzed using descriptive mean and SD and analytical statistics independent t-test, anova, and Pearson's correlation coefficient tests by SPSS 22 (version 22, SPSS, Chicago Inc., IL). The results indicated that the mean scores of psychological needs of families with transplanted patients hospitalized in three wards of bone marrow, kidney, and liver were at a high level (143/16 ± 12/29). The mean scores of psychosocial needs in the bone marrow transplantation ward (148/60 ± 8/18) were significantly higher than those of the patients hospitalized in the liver (141/24 ± 16/41) and kidney (141/25 ± 11/30) wards. A significant difference was observed among the three wards of the liver, kidney, and bone marrow transplantation with regard to the provided support, information, and proximity. To improve the psychological needs of the family members with patients hospitalized in transplant wards and reduce their mental reactions, they should be provided with more precise information about the patient's treatment procedure.

摘要

护士需要了解并满足在医院移植病房住院患者家属的生理需求。考虑到这个问题的重要性,本研究旨在调查有器官移植患者的家庭的心理社会需求。该研究采用横断面设计,于2018年在克尔曼医科大学附属的阿夫扎利普尔教育医院进行。使用45项心理社会需求问卷来评估有器官移植患者(包括肾、肝和骨髓移植患者)的家庭的心理社会需求。采用配额抽样方法,230名参与者完成了调查。数据使用描述性均值和标准差以及分析性统计方法,通过SPSS 22(版本22,SPSS,芝加哥公司,伊利诺伊州)进行独立t检验、方差分析和皮尔逊相关系数检验。结果表明,在骨髓、肾脏和肝脏三个病房住院的移植患者家庭的心理需求平均得分处于较高水平(143/16 ± 12/29)。骨髓移植病房的心理社会需求平均得分(148/60 ± 8/18)显著高于在肝脏(141/24 ± 16/41)和肾脏(141/25 ± 11/30)病房住院的患者。在肝脏、肾脏和骨髓移植这三个病房之间,在提供的支持、信息和亲近程度方面观察到显著差异。为了改善移植病房住院患者家属的心理需求并减少他们的心理反应,应该为他们提供关于患者治疗程序的更精确信息。

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