College of Nursing, Dankook University, Cheonan 31116, Korea.
College of Medicine, Catholic University, Seoul 06591, Korea.
Int J Environ Res Public Health. 2020 Mar 30;17(7):2316. doi: 10.3390/ijerph17072316.
This study investigates the types and degrees of physical and psychological discomfort experienced by hematopoietic stem cell donors before, during, and after the donation process in order to provide helpful information for developing education programs that can help donors to cope with their discomforts. One hundred and thirty-one individuals who donated hematopoietic stem cells from 2017 to 2019 were asked to self-report the types and degrees of physical and psychological discomfort they felt in the process, and the results were analyzed using SPSS. All participants donated peripheral blood stem cells; the most commonly reported physical discomfort was myalgia (72.5%), followed by bone pain (62.6%), fatigue (60.3%), and headache (55.0%). Of the donors, 88.5% responded that they experienced psychological discomforts, including fear (44.3%), anxiety (44.3%), stress (39.7%), depression (31.3%), loneliness (31.3%), regret (29.8%), and ambivalence (23.7%). In particular, female donors experienced more discomfort than males in rash (Z = -2.123, = 0.034), fear (Z = -2.851, = 0.004), and anxiety (Z = -1.861, = 0.044). Therefore, it is necessary for healthcare providers and experts to make efforts to educate and help donors to prepare and mitigate their discomfort throughout the donation process, and to strategically manage donors' well-being by monitoring and evaluating their discomfort levels and providing interventions if necessary.
本研究旨在调查造血干细胞捐献者在捐献过程前后所经历的身体和心理不适的类型和程度,以便为制定教育计划提供有用信息,帮助捐献者应对不适。本研究共招募了 131 名 2017 年至 2019 年期间捐献造血干细胞的个体,要求他们自行报告在捐献过程中感受到的身体和心理不适的类型和程度,并使用 SPSS 进行分析。所有参与者均捐献外周血造血干细胞;最常见的身体不适是肌肉疼痛(72.5%),其次是骨痛(62.6%)、疲劳(60.3%)和头痛(55.0%)。88.5%的捐献者表示经历了心理不适,包括恐惧(44.3%)、焦虑(44.3%)、压力(39.7%)、抑郁(31.3%)、孤独(31.3%)、后悔(29.8%)和矛盾(23.7%)。特别是,女性捐献者在皮疹(Z=-2.123, =0.034)、恐惧(Z=-2.851, =0.004)和焦虑(Z=-1.861, =0.044)方面比男性更易感到不适。因此,医疗保健提供者和专家有必要努力教育和帮助捐献者在整个捐献过程中做好准备,减轻不适,并通过监测和评估捐献者的不适水平以及在必要时提供干预措施,战略性地管理捐献者的健康。