舒适护理对老年血液透析患者生理及心理指标的影响

Effect of comfort care on physiological and psychological indexes for elderly patients with hemodialysis

目的：探讨舒适护理对老年血液透析患者生理以及心理的影响。方法选取我院自2012年3月～2013年5月的150例进行长期血液透析的老年患者，随机分为对照组和实验组两组，每组75例，对照组采用常规护理，而实验组采用舒适护理。采用SF-36表评价患者的生活质量和健康指数，同时采用医院焦虑自评量表（SAS）比较两组患者护理前后心理状态。结果观察组患者护理后的生活质量和健康指数明显优于对照组（P＜0.05）、焦虑程度明显低于对照组（P＜0.05）。结论采用舒适护理可以提高血液透析患者的医疗质量和生活质量，消除患者的不良情绪，有益于患者的身心健康。

Objective To explore the effect of comfort care on physiological and psychological indexes for elderly patients with hemodialysis. Methods 150 elderly patients with hemodialysis in our hospital from March 2012 to May 2013 were selected, who were randomly divided into the control group and the experimental group, and each group had 75 patients. The patients in the control group received the routine care, while the patients in the experimental group adopted the comfort care. The quality of life and health indexes of patients were assessed by using the SF-36 scale, and the mental state of patients in the two groups were compared by using the hospital self-rating anxiety scale（SAS） before and after the care. Results The quality of life and health indexes of patients in the experimental group after the care were significantly better than those in the control group（P＆lt;0.05）, and the anxiety degree was significantly lower（P ＆lt; 0.05）. Conclusion Comfort care can improve the quality of care and life in patients with hemodialysis, eliminate the patient＆#39;s negative emotions, conduce to the patient＆#39;s physical and mental health.