针对性护理干预对维持性血液透析患者抑郁和焦虑情绪的影响

Efficacy of ‘Targeted Care Intervention'in Treating Depression and Anxiety in Patients of Maintenance Hemodialysis

目的探讨针对性护理干预对维持性血液透析(maintenance hemodialysis,MHD)患者抑郁和焦虑情绪的影响。方法 124例MHD患者分为观察组和对照组各62例,对照组给予血液透析常规护理干预,观察组给予针对性护理干预,比较两组患者护理干预前后的焦虑、抑郁评分情况,以及相关并发症的发生情况。结果护理前,2组患者的焦虑、抑郁评分差异无统计学意义(P>0.05);护理后,2组的焦虑、抑郁评分显著低于护理前,且观察组显著低于对照组,差异均有统计学意义(P<0.05)。观察组的并发症总发生率(14.51%)低于对照组(30.64%),差异有统计学意义(χ~2=10.37,P<0.05)。结论针对性护理干预能有效缓解MHD患者的焦虑、抑郁情绪,减少相关并发症的发生。

Objective To evaluate the efficacy of ‘targeted care intervention＇on depression and anxiety in maintenance hemodialysis（ MHD） patients. Methods Patients of MHD（ n = 124） were randomly divided into an observation group（ n =62） and a control group（ n = 62）. The control group was treated with conventional intervention while the observation group was treated with targeted care intervention. The anxiety and depression scores,the occurrence of related complications of the two groups before and after care intervention were compared. Results Before intervention,there was no statistically significant difference in the anxiety scores and depression scores between the two groups（ P〉0.05）. After care intervention,the anxiety scores and depression scores of both groups were lower than before intervention（ P 〈0. 05）,with the anxiety scores and depression scores of the observation group being significantly lower than those of the control. The rate of incidence of complications in the observation group（ 14. 51%） was lower than that in the control group（ 30. 64%）. The difference was statistically significant（ χ2= 10. 37,P 〈0. 05）. Conclusions Targeted care intervention can effectively alleviate the anxiety and depression of MHD patients and reduce the incidence of related complications.