心理护理干预对维持性血液透析患者的临床影响观察

The application research of psychological nursing intervention in maintenance hemodialysis patients

目的探讨心理干预对维持性血液透析患者的临床影响(透析疗效及生存质量)。方法将80例行维持性血液透析的慢性肾功能衰竭患者随机分为干预组和对照组,每组各40例。对照组采用常规护理;干预组在常规护理的基础上加强心理护理。采取Zung抑郁评定量表(Self-Rating Depression Scale,SDS)和焦虑评定量表(Self-Rating Anxiety Scale,SAS),观察比较两组患者干预前后的心理状况。结果干预前两组SDS、SAS评分比较,差异无统计学意义(P>0.05);干预后对照组SDS、SAS均高于干预组评分,差异有统计学意义(P<0.05);干预组干预前SDS、SAS均高于干预后评分,差异有统计学意义(P<0.05);对照组干预前后SDS、SAS比较,差异无统计学意义(P>0.05)。结论护理人员采取恰当的心理护理干预措施,可以提高维持性血液透析患者的透析疗效,提高患者的生存质量。

Objective To explore the effect of psychological nursing intervention in maintenance hemodialysis patients. Methods 80 cases of chronic renal failure patients on maintenance hemodialysis were rando mly divided into trial group with 40 cases and control group with 40 cases.In addition to routine nursing in the 2 groups,the trial group were carried out with psychological nursing intervention. The scores of Zung？s Self-Rating Depression Scale（ SDS） and Self-Rating Anxiety Scale（ SAS） were used before and after intervention in the two groups. Results Before intervention,SDS and SAS scores between two groups have no statistically significant difference（P〉 0.05）.After interven tion,SDS and SAS scores in the control group were higher than that of the trial group,the difference of which was statistically significant（ P ＆lt;0.01）.SDS and SAS scores of the trial group before were higher than after intervention,the difference of which was statistically significant（P〈0.01）.SDS and SAS scores of the control group before and after intervention have no statistically significant difference（P〉 0.05）.Conclusion Appropriate psychological nursing intervention carried out in patients with maintenance hemodialysis can improve patients？ quality of life.