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造血干细胞移植患者家庭照顾者的准备情况、不确定性及痛苦感受

Preparedness, Uncertainty, and Distress Among Family Caregivers in the Care of Patients Undergoing Hematopoietic Stem Cell Transplantation.

作者信息

Karimi-Rozveh Ali, Nasrollahi Bishe Elahe, Mohammadi Tayeb, Vaezi Mohammad, Sayadi Leila

机构信息

Ali Karimi-Rozveh.

Elahe Nasrollahi Bishe.

出版信息

Oncol Nurs Forum. 2025 Apr 23;52(3):217-227. doi: 10.1188/25.ONF.217-227.

Abstract

OBJECTIVES

To determine the level of preparedness, uncertainty, and distress of family caregivers (FCs) of patients before and after hematopoietic stem cell transplantation.

SAMPLE & SETTING: This study is a longitudinal cohort panel study involving 69 FCs of patients undergoing hematopoietic stem cell transplantation.

METHODS & VARIABLES: Data were collected during the first week of hospitalization (T0) and two weeks after discharge (T1) via FCs' demographic information, a clinical status form for patients, two scales, and a psychological distress instrument. IBM SPSS Statistics, version 16.0, was used for data analysis.

RESULTS

The mean preparedness among FCs decreased significantly at T1 compared to T0. In addition, the uncertainty experienced by FCs was significantly higher at T0 than at T1.

IMPLICATIONS FOR NURSING

Assessing the readiness of FCs and providing them with psychological and supportive interventions before patients are discharged is crucial for ensuring better care of patients undergoing hematopoietic stem cell transplantation. Nurses must offer comprehensive information to FCs about patients' diagnosis, treatment, and care protocol to minimize uncertainty.

摘要

目的

确定造血干细胞移植患者的家庭照顾者(FCs)在移植前后的准备程度、不确定性和痛苦程度。

样本与背景

本研究是一项纵向队列研究,涉及69名造血干细胞移植患者的家庭照顾者。

方法与变量

通过家庭照顾者的人口统计学信息、患者临床状况表、两个量表和一个心理痛苦评估工具,在患者住院第一周(T0)和出院两周后(T1)收集数据。使用IBM SPSS Statistics 16.0版进行数据分析。

结果

与T0相比,家庭照顾者在T1时的平均准备程度显著下降。此外,家庭照顾者在T0时经历的不确定性显著高于T1。

对护理的启示

评估家庭照顾者的准备情况,并在患者出院前为他们提供心理和支持性干预措施,对于确保更好地照顾造血干细胞移植患者至关重要。护士必须向家庭照顾者提供有关患者诊断、治疗和护理方案的全面信息,以尽量减少不确定性。

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Predictive model for the preparedness level of the family caregiver.家庭护理员准备水平预测模型。
Int J Nurs Pract. 2022 Jun;28(3):e13057. doi: 10.1111/ijn.13057. Epub 2022 Apr 6.

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