|
|
Psychological Stress Status and Influencing Factors of Unrelated Hematopoietic Stem Cell Donors |
LI Fang, ZHU Manli, ZENG Qingling, WANG Ziyan, ZHANG Xilin, QIU Hongxia |
Department of Hematology,Hunan Provincial People's Hospital / The First Affiliated Hospital of Hunan Normal University,Changsha 410005 |
|
|
Abstract Objective To investigate the psychological stress of unrelated hematopoietic stem cell donors,explore the relationship between it and social's support and coping style,and analyze its influencing factors. Methods Using the convenient sampling method,94 unrelated donors who underwent hematopoietic stem cell collection in the Department of Hematology of Hunan Provincial People's Hospital from August 2020 to December 2022 were selected as the research objects. The general information questionnaire,Chinese version of Perceived Stress Scale,Perceived Social Support Scale and Simple Coping Style Questionnaire were used to investigate. Independent sample t test and one-way analysis of variance were utilized to determine the difference in psychological stress scores of unrelated donors with different characteristics. Pearson correlation analysis was applied to determine the correlation between psychological stress of unrelated donors and social support,coping style,anxiety and depression. Multiple linear regression analysis was employed to determine the influencing factors of psychological stress of unrelated donors. Results The total score of psychological stress of hematopoietic stem cell unrelated donors was (18.74±8.735),of which 20(21.3%)were health risk psychological stress. The results of univariate analysis showed that there were statistically significant differences in the psychological stress scores of unrelated donors with different ages,education levels,occupational types,permanent residence,and times of blood donation. Correlation analysis showed that the psychological stress score of unrelated donors was negatively correlated with family support,friend support,other support and positive coping style(r=-0.565~0.482,P<0.01),and positively related to negative coping style. Multiple linear regression analysis showed that positive coping style and friend support were the main factors affecting the psychological stress of unrelated donors(R2=0.373,P<0.001). Conclusion The psychological stress of hematopoietic stem cell unrelated donors is at a medium level,and more than one-fifth of unrelated donors are health risk psychological stress,which is affected by many factors. Medical staff should actively pay attention to the psychological stress level of unrelated donors,and formulate targeted psychological intervention measures combined with influencing factors to improve the donation willingness and experience of unrelated donors and promote the high-quality development of hematopoietic stem cell donation in China.
|
Received: 15 September 2023
|
|
|
|
|
[1] 赵玉敬, 陆爱文, 亓欣. 血液系统恶性肿瘤患者心理弹性现状及影响因素[J]. 国际护理学杂志, 2021, 40(12): 2144-2147. [2] 尤黎明, 吴瑛. 内科护理学[M]. 北京: 人民卫生出版社, 2018. [3] 赖耿良, 叶中绿. 造血干细胞移植的概述[J]. 中国医学创新, 2022, 19(20): 179-184. [4] 张素平, 孙玲, 万鼎铭, 等. 非血缘外周血造血干细胞移植治疗重型再生障碍性贫血的有效性[J]. 中国组织工程研究, 2020, 24(31): 4994-5001. [5] 董露露, 蒋艳, 凌静, 等. 不同供者来源干细胞移植术后环孢素A有效血药浓度的监测分析[J]. 中南药学, 2019, 17(10): 1780-1783. [6] KIM M, KIM TG, BEOM SH.Physical and Psychological Discomfort Experienced by Hematopoietic Stem-Cell Donors[J]. Int J Environ Res Public Health, 2020, 17(7): 2316. [7] 冯媛, 李建勇, 缪扣荣. 单倍体造血干细胞移植供者选择研究进展[J]. 白血病·淋巴瘤, 2020, 29(06): 374-377. [8] 郭彩玲, 张川莉, 陈凤姣, 等. 造血干细胞移植患者的心理情绪及躯体症状分析[J]. 国际输血及血液学杂志, 2020(02): 134-141. [9] 张小蓉, 刘敏杰, 方云. 造血干细胞移植病人术后认知功能障碍的评估与影响因素[J]. 护理研究, 2020, 34(05): 858-862. [10] 葛永芹, 朱霞明, 杨晶. 造血干细胞移植患者生活质量现状及其影响因素分析[J]. 齐鲁护理杂志, 2020, 26(02): 1-6. [11] 王婷, 颜霞, 李灿莹, 等. 异基因造血干细胞亲缘供者内心体验的质性研究[J]. 中华护理杂志, 2020, 55(12): 1785-1790. [12] 应钰婷. 在校大学生健康素养水平与焦虑、压力感知和应对方式的关联性研究[D]. 广州: 暨南大学, 2021. [13] 赵小明, 刘丽, 李红芹, 等. 造血干细胞移植无关供者真实感受的质性研究[J]. 护理学杂志, 2016, 31(11): 25-28. [14] XU LP, WU DP, HAN MZ, et al.A review of hematopoietic cell transplantation in China: data and trends during 2008-2016[J]. Bone marrow transplant, 2017, 52(11): 1512-1518. [15] HAMAD L, ANTHIAS C, MACHIN L.How do weforecasttomorrow's transfusion: the future of hematopoietic stem cell donation[J]. Transfus Clin Biol,2022,30(1):52-55. [16] 程潇. 企业员工知觉压力、自我效能、饮食运动行为与超重肥胖的关系研究[D]. 杭州: 浙江大学, 2019. [17] HOANG VAN LAN, GREEN THERESA, BONNER Ann.Examining social support, psychological status and health-related quality of life in people receiving haemodialysis.[J]. Journal of renal care, 2021, 48(2): 102-111. [18] JOLEEN C. SCHOULTE, JESSICA A. Lohnberg, Benjamin Tallman, et al.Influence of Coping Style on Symptom Interference Among Adult Recipients of Hematopoietic Stem Cell Transplantation[J]. Oncology Nursing Forum, 2011, 38(5): 582-586. [19] 王逸远. 大学生压力知觉与应对方式的关系[D]. 天津: 天津师范大学, 2020. [20] SANTARNECCHI E, SPRUGNOLI G, TATTI E, et al.Brain functional connectivity correlates of coping styles[J]. Cogn Affect Behav Neurosci,2018,18(3):495-508. [21] RICHMOND CA, ROSS NA, EGELAND GM.Social support and thriving health: a new approach to understanding the health of indigenous Canadians[J]. Am J Public Health,2007,97(10):1827-1833. [22] ALAGIZY HA, SOLTAN MR, SOLIMAN SS, et al.Anxiety, depression and perceived stress among breast cancer patients: single institute experience[J]. Middle East Current Psychiatry,2020,27(1):29-39. [23] 张秋会, 徐丽, 张玲, 等. 积极心理学视角下造血干细胞移植术后患者癌症复发恐惧现状及其影响因素研究[J]. 中国护理管理, 2022, 22(09): 1353-1358. [24] 余益兵, 于家伟, 李艳如, 等. 农村留守儿童领悟家庭支持、朋友支持与抑郁的交叉滞后分析[J]. 心理与行为研究, 2022, 20(4): 472-478. |
[1] |
LIN Leshi, LI Wenjuan, TENG Sheng, Yang Yi, LI Li, PENG Fang, PENG Dongmei, QIN Lullu, GAO Xiao. Serum Levels of Per- and polyfluoroalkyl Substances and Their Determinants in Early Pregnant Women in Changsha City[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(1): 135-143. |
|
|
|
|