舒适护理模式对尿毒症血液透析患者负性情绪及生活质量的影响

Effects of comfortable nursing mode on negative emotion and quality of life in uremia patients with hemodialysis

目的探讨舒适护理模式对尿毒症血液透析患者负性情绪及生活质量的影响。方法接受血液透析治疗的78例尿毒症患者随机分为观察组(n=39)及对照组(n=39)。对照组接受常规护理,观察组在对照组基础上给予舒适护理模式。干预后1月采用抑郁自评量表(SDS)、焦虑自评量表(SAS)评价2组患者的负性情绪,采用简明健康状况调查表(SF-36)评价2组患者生活质量。结果干预后1个月,观察组患者SDS、SAS评分值低于对照组患者(P<0.05),中重度焦虑及抑郁患者比例低于对照组患者(P<0.05);观察组患者SF-36量表中生理功能、生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康和总体健康评分值均高于对照组患者(P<0.01)。结论实施舒适护理模式能改善尿毒症血液透析患者的负性情绪及生活质量。

Objective To investigate the effect of comfortable nursing mode on negative emo- tion and quality of life in uremia patients with hemodialysis. Methods A total of 78 uremia patients with treatment of hemodialysis were randomly divided into the observation group （ n = 39） and the con- trol group（n=39）. Both two groups were given conventional treatment and the observation group was applied with comfortable nursing mode additionally. The negative emotion of patients was evaluated by self-rating depression scale （SDS）and self-rating anxiety scale （SAS） one month after intervention. The shot-form health status survey （SF-36） was performed to evaluate the quality of life of patients. Results The averaged score of SDS and SAS in observation group were lower than those of controls at one month after intervention （P 〈 0.05 ）, and the proportion of patients with moderate or severe level in SDS and SAS assessment were lower in the observation group than those in the control group （ P 〈 0. 05）. The observation group achieved higher score in assessment of vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning and mental health compared with the control group （P 〈 0.01 ）. Conclusion Appli- cation of comfortable nursing mode can improve the negative emotion and quality of life in uremia pa- tients with hemodialysis.