心理干预对腹膜透析患者心理情绪的影响

The effect of psychological intervention on psychological emotion of peritoneal dialysis patients

目的探讨心理干预对腹膜透析患者心理情绪的影响。方法选取该院2014年2月-2017年2月收治的70例腹膜透析患者，按照随机数字表法分为常规组与干预组，各35例。常规组患者采用一般透析服务，干预组患者在治疗期间提供早期心理干预。评价两组患者干预前后心理焦虑评分及满意度调查结果，评估患者生活质量评分。结果干预前两组患者SAS评分结果比较，差异无统计学意义（P〉0．05）；干预后，干预组患者SAS评分结果低于常规组，差异有统计学意义（P〈0．05）。常规组患者出院后家庭角色、社会功能、情绪、健康状态、疾病自护能力等生活质量评分均低于干预组，差异有统计学意义（均P〈0．05）。常规组患者满意度为68．57％，干预组患者满意度为91．43％，干预组患者满意度高于常规组，差异有统计学意义（P〈0．05）。结论医生为腹膜透析患者做好一般透析治疗服务，同时加强心理干预，可有效提高患者满意度，患者生活状态较好。

Objective To explore the effect of psychological intervention on psychological emotion of peritoneal dialysis patients. Methods A total of 70 patients with peritoneal dialysis in this hospital from February 2014 to February 2017 were selected and were divided into routine group and intervention group according to the random number table method, 35 cases each of group. The routine group was given general dialysis service, and the intervention group was given early psychological intervention during treatment. The scores of psychological anxiety and satisfaction of the two groups before and after intervention were evaluated, and the life quality scores were evaluated. Results The SAS score of two groups before intervention were compared, and difference was not statistically significant （ P〉0. 05）. The SAS score of the intervention group was lower than that of the routine group, and the difference was statistically signficant （ P〈0. 05 ）. The scores of family role, social function, mood, health status, and self-care ability of the patients in the routine group were lower than those of intervention group, and the differences were statistically significant （P〈 0. 05 ）. The satisfaction rate of the patients in the routine group was 68.57% , while in the intervention group was 91.43%, and the patients＇ satisfaction rate in the intervention group was higher than that of the routine group. The difference was statistically significant （P〈0. 05 ）. Conclusions Doctors provide general dialysis treatment services for patients with peritoneal dialysis, and strengthen psychological intervention, which can effectively improve patients＇ satisfaction and patients＇ living conditions.