心理干预对诱导期透析患者心理健康水平的影响

Effect of mental intervention on the psychological health status of the induced dialysis patients

目的 探讨心理干预对诱导期透析患者心理健康状况的影响.方法 对合肥市第一人民医院血液净化中心诱导期透析患者50例采用症状自评量表（SCL-90）进行心理状况调查,根据调查测评结果实施有针对性的心理与行为方式干预措施,比较干预前后诱导期透析患者心理健康状况.结果 心理干预后SCL-90阳性项目数和躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖的因子分均显著低于干预前,差异有统计学意义（P＜0.05）.结论 实施综合的心理干预措施,能明显改善诱导期透析患者的负性情绪,提高其心理健康水平.

Objective To investigate the effect of mental intervention to the psychological health status of the patients with dialysis. Methods 50 patients with induced hemodialysis were selected in the First People＇s Hospital of Hefei and investigated by symptom checklist （SCL-90） for psychological status. Specific psychological and behavior interventions were implemented by the investigation results and the psychological health status of the patients with dialysis were compared before and after intervention. Results The results about positive items of symptom checklist （SCL-90） after enforcing the intervention study were significantly lower than those before intervention （ P 〈 0. 05 ）, especially about body symptoms, compulsion, anxiety, depression,dread, hostility and interpersonal relationship. Conclusions Comprehensive mental intervention could improve the negative emotion and increase the healthy status of induced dialysis patients.