心理护理干预在尿毒症维持性血液透析患者中的应用效果被引量：16

Application Effects of Psychological Nursing Intervention and Effects of SAS Score on Patients with Uremia and Maintenance Hemodialysis

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摘要目的观察心理护理干预在尿毒症维持性血液透析患者中的应用效果。方法纳入本院2015年6月~2018年6月收治的尿毒症维持性血液透析患者60例,按数字随机分组分成干预组、对照组各30例,对照组给予常规护理干预,观察组在常规基础上给予心理护理干预,护理3个月后比较两组心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、治疗依从性及生活质量[肾脏疾病生活质量简表(KDQOL-SF)]。结果护理后,两组SAS、SDS评分均显著低于护理前(P<0.05),且干预组降低幅度大于对照组(P<0.05);护理期间,干预组依从率93.33%,显著高于对照组的73.33%(P<0.05);护理后,两组KDQOL-SF评分均显著高于护理前(P<0.05),且干预组上升幅度大于对照组(P<0.05)。结论心理护理干预用于尿毒症维持性血液透析患者中,能减轻患者焦虑、抑郁情绪,提高患者治疗依从性及生活质量。 Objective To observe the application effects of psychological nursing intervention on patients with uremia and maintenance hemodialysis.Methods 60 cases of patients with uremia and maintenance hemodialysis admitted to our hospital from June 2015 to June 2018 were selected and divided into intervention group and control group according to the random numbertable method,with 30 cases in each group.Control group was given routine nursing intervention,and observation group was given psychological nursing intervention on the basis of routine nursing.After 3 months of nursing,the psychological status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],treatment compliance and quality of life[Kidney Disease and Quality of Life Short Form(KDQOL-SF)]were compared between the two groups.Results After nursing,the scores of SAS and SDS in the two groups were significantly lower than those before nursing(P<0.05),and the reduction in intervention group was greater than that in control group(P<0.05).During nursing,the compliance rate in intervention group was significantly higher than that in control group(93.33%vs 73.33%)(P<0.05).After nursing,the KDQOL-SF scores in the two groups were significantly higher than those before nursing(P<0.05),and the increase in intervention group was greater than that in control group(P<0.05).Conclusion Psychological nursing intervention in patients with uremia and maintenance hemodialysis can reduce anxiety and depression,and improve treatment compliance and quality of life.

作者贺晓芬王静李彬彬 HE Xiao-fen;WANG Jing;LI Bin-bin(Blood Purification Room,Jiaozuo Second People's Hospital,Jiaozuo 454001,Henan Province,China)

机构地区河南省焦作市第二人民医院血液净化室

出处《罕少疾病杂志》 2019年第4期95-96,107,共3页 Journal of Rare and Uncommon Diseases

关键词尿毒症维持性血液透析心理护理干预焦虑评分 Uremia Maintenance Hemodialysis Psychological Nursing Intervention Anxiety Score

分类号 R473.5 [医药卫生—护理学]

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参考文献6

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