心理护理干预对维持性尿毒症血液透析患者焦虑抑郁情绪的影响

Effect of Psychological Nursing Intervention on Anxiety and Depression in Hemodialysis Patients with Maintenance Uremia

目的:探究心理护理干预对维持性尿毒症血液透析患者焦虑抑郁情绪的影响。方法:选取接受维持性尿毒症血液透析患者80例作为研究对象,将患者分为观察组和对照组,每组40例。对照组采取常规护理方式,观察组在常规护理的基础上实施心理护理干预。对比两组治疗前后焦虑、抑郁情绪差异,同时比较两组并发症发生率。结果:护理前两组SCL-90评分比较差异无统计学意义(P>0.05),护理后观察组评分均低于护理前及对照组,差异均有统计学意义(P<0.05)。护理前两组SAS和SDS评分比较差异无统计学意义(P>0.05);护理后观察组SAS和SDS评分均低于干预前及对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:心理护理干预可以缓解维持性尿毒症血液透析患者焦虑抑郁情绪,减少不良反应的发生率,有比较好的治疗效果。

Objective: To investigate the effect of psychological nursing intervention on anxiety and depression in maintenance uremic hemodialysis patients. Method: Eighty patients with hemodialysis patients undergoing maintenance uremia were selected as the study subjects. The patients were divided into the observation group and the control group, with 40 cases in each group. Patients in the control group received routine nursing care, patients in the observation group performed psychological nursing intervention on the basis of routine care. The differences in anxiety and depression between the two groups before and after treatment were compared, and the incidence of complications in the two groups was compared. Result: There was no significant difference in SCL-90 score between the two groups before nursing(P>0.05), but the score of the observation group after nursing was lower than that before nursing and the control group, the differences were statistically significant(P<0.05). There was no significant difference in SAS and SDS scores between the two groups before nursing(P>0.05), but the scores of SAS and SDS in the observation group after nursing were lower than those before intervention and in the control group, the differences were statistically significant(P<0.05). The incidence of adverse reactions in the observation group was lower than that of the observation group, the difference was statistically significant(P<0.05). Conclusion: Psychological nursing intervention can alleviate the anxiety and depression of hemodialysis patients with maintenance uremia, reduce the incidence of adverse reactions, and have a better therapeutic effect.