Abstract

Objective: We attempt to explore the effect of mindfulness-based stress reduction on unhealthy emotion and sleep quality of hematopoietic stem cell transplantation recipients. Methods: we enrolled 92 patients who underwent hematopoietic stem cell transplantation recipients in the Hematology Department of our hospital from February 2017 to August 2019 and averagely divided them into control group and observation group according to random number table. Patients in the control group received routine nursing care for hematopoietic stem cell transplantation recipients while patients in the observation group were given mindfulness-based stress reduction for mental intervention based on the routine nursing care. We adopted Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index (PSQI) to assess the patients’ emotional state and sleep quality before and after intervention. Results: Before intervention, there was no significant difference in the score on SAS, SDS, and PSQI between two groups (P>0.05). After intervention, the scores on SAS, SDS, and PSQI of both groups declined obviously and that of the observation group declined much more than that of the control group. There was a significant difference in the score on SAS, SDS, and PSQI between two groups after intervention (P<0.05). Conclusions: Mindfulness-based stress reduction can relieve unhealthy emotions such as anxiety and depression of hematopoietic stem cell transplantation recipients as well as their mental stress so as to improve their sleep quality.

Highlights

  • Hematopoietic stem cell transplantation (HSCT) is the most effective new treatment for benign and malignant hematological system diseases currently, with a cure rate up to 60%-70% [1, 2]

  • There was no significant difference in the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) between two groups (P>0.05)

  • Note: t*, p* stand for comparison of scores before and after intervention within a group, and t#, p# stand for comparisons between two groups before and after intervention respectively

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Summary

Introduction

Hematopoietic stem cell transplantation (HSCT) is the most effective new treatment for benign and malignant hematological system diseases currently, with a cure rate up to 60%-70% [1, 2]. The fact that hematopoietic stem cell transplantation requires closed hundred-level laminar air flow ward, and long course of treatment, high cost and high risk bring heavy financial burden and mental stress to the patients and their families. Research shows that mental intervention can improve patients’ mental stress endurance, and reduce negative emotions [3, 4]. It has been widely used to relieve stress and manage emotions by scholars at home and abroad and they have achieved good effects [6, 7].

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