人性化护理干预对维持性血液透析患者的影响

Effect of humanized nursing intervention in maintenance hemodialysis patients

目的探讨人性化护理干预对维持性血液透析患者焦虑、抑郁及预后生活质量的影响。方法选取本院治疗的维持性血液透析患者90例,随机分为观察组和对照组各45例。对照组给予常规护理,观察组在对照组基础上给予人性化护理干预,对比分析2组患者心理状态、焦虑自评量表(SAS)、抑郁自评量表(SDS)及生活质量。结果护理实施后,2组患者SDS评分和SAS评分均比护理干预前下降,且观察组优于对照组(P<0.05);观察组患者治疗依从性为97.8%高于对照组80.0%;护理干预后,观察组患者的精力、体能影响、情感影响、社会功能、情感状态及整体健康方面评分均高于干预前,且高于对照组干预后评分。结论人性化护理干预在维持性血透患者中应用效果较好,可缓解患者焦虑、抑郁等负面情绪,建立和谐稳定的护患关系,提高生活质量。

Objective To explore the effect of humanized nursing intervention on anxiety,depression and prognosis of maintenance hemodialysis patients. Methods A total of 90 patients with maintenance hemodialysis who were treated in our hospital were randomly divided into two groups,with 45 cases in each group. Patients in the control group were given routine care,and the patients in the observation group were given humanized nursing intervention on the basis of the control group.The psychological status( SAS,SDS) and quality of life of the two groups were compared and analyzed. Results After nursing,the scores of SDS and SAS were decreased than nursing before,and observation group was better than the control group( P < 0. 05). The compliance rate of the observation group was significantly higher than that of the control group( 97. 8% vs. 80. 0%,P < 0. 05).After nursing intervention,the energy,physical effect,affective effect,social function,emotional status and overall health score of the observation group were significantly higher than intervention before,and these scores were significantly higher than that of the control group,and the differences were statistically significant( P < 0. 05). Conclusion Humanized nursing intervention for the maintenance of hemodialysis patients can significantly alleviate anxiety,depression and other negative emotions,establish a harmonious and stable nurse-patient relationship,and improve the prognosis and quality of life.