精细化护理干预对维持性血液透析患者负性情绪及生活质量的影响

Effect of refined nursing intervention on negative emotions and quality of life in maintenance hemodialysis patients

目的探讨精细化护理干预对维持性血液透析患者负性情绪、生活质量的影响效果。方法选择维持性血液透析患者106例,按照随机数表法分为对照组和观察组,每组53例。血液透析期间,对照组患者接受常规护理干预,观察组患者在常规护理干预基础上接受精细化护理干预。比较2组患者干预前后生活质量、负性情绪以及社会支持与社会回避、苦恼评分。结果护理干预前,2组患者肾脏疾病生活质量简表(KDQOL-SFTM)评分差异无统计学意义(P>0.05);干预后,观察组患者KDQOL-SFTM评分为(65.18±10.57)分,高于对照组(59.27±10.24)分(P<0.05)。护理前,2组患者负性情绪指标焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义(P>0.05);护理后,2组患者SAS、SDS评分均低于护理前,且研究组低于对照组(P<0.05)。干预后,2组患者社会支持评定量表(SSRS)评分均高于干预前,且研究组高于对照组(P<0.05);干预后,2组患者社交回避及苦恼量表(SAD)评分均低于干预前,且研究组低于对照组(P<0.05)。结论对维持性血液透析患者实施精细化护理干预,可有效改善患者生活质量,提升心理健康状态,进而帮助患者回归社会,值得在临床推广。

Objective To study effect of refined nursing intervention on quality of life and compliance of maintenance hemodialysis patients. Methods A total of 106 maintenance hemodialysis patients enrolled in our hospital were randomly divided into control group and observation group according to random number table method,with 53 cases in each group. During hemodialysis,the patients in the control group were given routine clinical nursing intervention,and the patients in the observation group were given refined nursing intervention based on routine nursing intervention. The quality of life,treatment adherence,social support,social avoidance,and distress scores were compared between the two groups before and after intervention. Results Before nursing intervention,there was no significant differences in KDQOL-SFTM scores between the two groups（ P〈0. 05）. The KDQOL-SFTM score in the observation group was（ 65. 18 ± 10. 57） scores,which was higher than（ 59. 27 ± 10. 24） scores in the control group（ P〈0. 05）. Before nursing,there was no significant difference in the SAS,SDS scores between the two groups（ P〉0. 05）. The SAS and SDS scores after nursing in both groups were lower than nursing before,and the study group was lower than that in the control group（ P〈0. 05）. After intervention,the Social Support Rating Scale（ SSRS） scores of the two groups were higher than intervention before,and the study group was higher than that in the control group（ P〈0. 05）; After intervention,the Social Avoidance and Distress Scale（ SAD） scores of the two groups were lower than intervention before,and the study group was lower than that in the control group（ P〈0. 05）. Conclusion Refined nursing intervention for patients undergoing maintenance hemodialysis can effectively improve their quality of life,enhance treatment compliance,and help patients return to society,so it is worthy of clinical promotion.