Sheu L C, Chen T C, Hwang S L
Department of Nursing, Sun Yat-Sen Cancer Center, College of Medicine, National Taiwan University, Taipei, Republic of China.
Kaohsiung J Med Sci. 1997 Dec;13(12):738-47.
Bone marrow transplantation (BMT) is an aggressive treatment which can induce considerable physical and psychological stresses. Patients face various problems in self care and psychological adjustment after discharge from the hospital. The purpose of this study was to explore the cognition, needs, satisfaction, and emotional responses toward home care in BMT patients and the factors influencing them. Forth BMT patients were enrolled from the outpatient clinic of BMT in a medical center. A descriptive research design was adopted. Cognition, needs, satisfaction, anxiety and depression for home care in these patients were collected by questionaires. The results showed that BMT patients had inadequate knowledge about how to care for themselves at home. High need and low satisfaction on disease adjustment and home care were found in these patients. All patients experienced anxiety and depression. Occupation, education, and socioeconomic status were found to affect patient's cognition. Religious belief influenced needs and satisfaction for home care in these patients. Sex and social-economic status emotional reaction of patients. This study will help health personnel understand the cognition, needs and satisfaction for home care in BMT patients. It can be used as a reference for organizing discharge plan and extending the continuity of care for BMT patients.
骨髓移植(BMT)是一种激进的治疗方法,会引发相当大的身心压力。患者在出院后自我护理和心理调适方面面临各种问题。本研究的目的是探讨骨髓移植患者对居家护理的认知、需求、满意度和情绪反应以及影响这些方面的因素。从一家医疗中心的骨髓移植门诊招募了第四批骨髓移植患者。采用描述性研究设计。通过问卷调查收集这些患者对居家护理的认知、需求、满意度、焦虑和抑郁情况。结果显示,骨髓移植患者对在家自我护理的知识掌握不足。这些患者在疾病调适和居家护理方面需求高但满意度低。所有患者都经历了焦虑和抑郁。研究发现职业、教育程度和社会经济地位会影响患者的认知。宗教信仰影响这些患者对居家护理的需求和满意度。性别和社会经济地位影响患者的情绪反应。本研究将有助于医护人员了解骨髓移植患者对居家护理的认知、需求和满意度。它可作为制定出院计划和延长骨髓移植患者护理连续性的参考。