护理干预在终末期肾病患者中的应用

Application of nursing intervention in patients with end-stage rental disease

目的:探讨护理干预对终末期肾病患者不良心理及临床症状效果的影响。方法:选择我院2013年1月~2014年11月确诊为终末期肾病的患者100例,并随机等分为对照组和观察组,对照组接受常规护理,观察组在对照组的基础上采用护理干预。经干预治疗6个月,采用简明健康调查量表(SF-36)评价患者生活质量;采用抑郁自评量表(SDS)及焦虑自评量表(SAS)评价患者心理状态,并采用自我效能量表评价行为改变的效果。结果:干预后观察组自我效能除药物项外各项评分及总分高于对照组,SDS,SAS评分低于对照组,SF-36生活质量各项评分高于对照组,两组比较均有统计学意义(P<0.05)。结论:护理干预是提高终末期肾病自我效能的良好方法和工具,能有效促进终末期肾病患者的行为改变,有效改善患者负性情绪,值得临床推广。

Objective：To discuss the influence of nursing intervention on adverse psychology and clinical symptom effect of patients with end-stage rental disease.Methods：Selected 100 patients diagnosed of end-stage rental disease in our hospital from January 2013 to April 2014,and they were equally divided into control group and observation group at random,where patients in the control group received conventional nursing,and patients in the observation group received nursing intervention on the basis of the control group.After 6 months＇ intervention treatment,short form health survey （SF-36） was used to evaluate the patients＇ lie quality;self-rating depression scale （SDS） and self-rating anxiety scale （SAS） were used to evaluate the patients＇ psychological state,and self-efficacy scale was used to evaluate the effect of behavioral change.Results：After intervention,except for the drug item,the scores of other items and total scores of self-efficacy of patients in the observation group were higher than those of patients in the control group,the SDS and SAS scores of patients in the observation group were lower than those of patients in the control group,and the scores of items of SF-36 life quality of patients in the observation group were higher than those of patients in the control group,and the comparison of the two groups were statistically significant （P〈0.05）.Conclusion：As a good method and tool to improve the self-efficacy of patients with end-stage rental disease,nursing intervention could change the behaviors of patients with end-stage rental disease and effectively improve the patients＇ negative emotions,and was worth promoting clinically.