阶段性心理干预对重症感染持续血液滤过患者的疗效

Curative effect of stage psychological intervention on patients with severe infection and continuous veno-venous hemofiltration

目的探讨阶段性心理干预对重症感染持续血液滤过患者的疗效。方法 2014年1月至2015年12月选取本院血液科收治的84例行连续性静脉血液滤过(continuous veno-venous hemofiltration CVVH)的重症感染患者为研究对象,随机将患者分为对照组(n=42)及观察组(n=42。对照组血液滤过期间应用常规性护理,观察组血液滤过期间应用阶段性心理干预。对比分析两组患者的治疗依从性。应用多维度疲劳量表(MFI)及医院焦虑抑郁量表(HAD)评估两组患者疲劳感及抑郁焦虑情况。结果两组患者干预前体力疲劳、综合疲劳、动力下降、活动减少及MFI评分,HAD量表的焦虑、抑郁分量表评分,组间无明显差异(P>0.05)。干预后两组患者上述指标评分较干预前均较低,且观察组上述指标评分均显著低于对照组,上述差异均有统计学意义(P<0.05)。观察组患者依从率为90.48%,对照组治疗依从率为66.67%,差异有统计学意义(P<0.05)。结论阶段性心理干预能更有效改善重症感染CVVH患者疲劳感和焦虑、抑郁情绪,提高患者治疗依从性。

Objective To investigate the curative effect of stage psychological intervention on patients with se- vere infection and continuous veno-venous hemofiltration（CVVH）. Methods 84 cases of patients with evere infection and CVVH in blood specialtyof our hospital were collected from January 2014 to December 2015 and randomly divided into the observation group and the control group, 42 cases for each group. The control group was given routine nursing care when doing CVVH, and the observation group was given stage psychological intervention. Then treatment compli- ance and the scales of HAD and MFI for evaluation of anxiety and depression, also fatigue feeling of the two groups were compared. Results There was no significant differences of physical fatigue, comprehensive fatigue, dynamic decline, activity reduction ,MFI and HAD scores between the two groups before intervention （P〉0.05） .After intervention, the scores of the indexes mentioned above were all lower in the both two groups than that before nursing intervention. Meanwhile the indexes mentioned above in the observation group were better than that in the control group, all the differences above were statistically significant （P〈0.05）. After intervention, the treatment compliance of the observation group is 90.48%,while the control group is 66.67%, the difference was statistically significant （P〈 0.05）.Conclusion The stage psychological intervention can be more effective to improve the fatigue feeling as well as anxiety and depression mood of patients with severe infection and CVVH, meanwhile it can improve the treatment compliance.