Journal of International Psychiatry

[Abstract] Objective To explore the current situation and influencing factors of anxiety before blood transfusion in patients with blood diseases. Methods A total of 150 patients with hematological diseases from April 2019 to April 2021 were selected as the study subjects. Anxiety was assessed using the Hamilton Anxiety Scale (HAMA) before blood transfusion. The differences in HAMA scores between patients with different ages, genders and family monthly income were analyzed. Multiple linear regression analysis was used to investigate the influencing factors of anxiety. Results The average HAMA score of 150 patients was (16.98±3.92) points, 92 cases of anxiety were detected, and the detection rate was 61.33%. There were significant differences in HAMA score between patients with different age, monthly family income, level of psychological resilience, benign and malignant disease, whether or not the first blood transfusion, and whether there was a history of adverse blood transfusion reactions (P<0.05). There was no significant difference in HAMA scores between different genders, places of residence, and educational levels (P>0.05). Multiple linear regression analysis showed that monthly family income, psychological resilience level, benign and malignant disease, first blood transfusion, and history of adverse blood transfusion were the influencing factors of pre-transfusion anxiety in patients with blood diseases. Conclusion Anxiety before blood transfusion is common in patients with blood diseases, which is affected by economic level and psychological flexibility. Targeted psychological intervention should be carried out to reduce anxiety before blood transfusion.

Key words Blood Disease; Blood Transfusion; Anxiety; Influencing Factors