老年慢性肾脏病患者心理健康管理

Application of Mental Health Management in Elderly Patients with Chronic Kidney Disease

目的选取70例老年CKD(chronic kidney disease,CKD)患者观察心理健康管理对其心理状况和生活质量的改善。方法利用肾脏病和生活质量问卷(KDQOLTM-36)、老年抑郁量表(GDS-15)及门诊患者满意度评价表,对70例老年CKD患者采用前瞻性随机对照研究,观察心理健康管理对其心理状况和生活质量的改善。结果干预后两组患者生存质量的8个维度差异均有统计学意义,P<0.01;干预后两组患者GDS-15评分均有减少,且与干预前相比有明显的下降趋势;两组患者在满意度的可靠性、响应性、保证性、移情性、医院形象、转移成本、总体满意度、忠诚度8个维度方面比较,差异有统计学意义,P<0.05。结论将心理健康和躯体治疗相结合,提供个体化延续性的心理健康管理,可有效改善患者的心理状态和生存质量,提高门诊患者满意度。

Objective To investigate the improvement of mental health and quality of life in 70 elderlyCKD patients. Methods The Kidney Disease and Quality of Life Questionnaire （KDQOLTM-36）, Geriatric De-pression Scale （GDS-15） and Outpatient Satisfaction Evaluation Form to conduct a prospective randomized con-trolled study of 70 elderly patients with CKD were used to observe the improvement of their mental health and quali-ty of life through mental health management. Results There were statistically significant differences in quality of life between the two groups of patients after intervention. （ P 〈 0. 01）. The GDS - 15 scores decreased in both groups. Although there was no statistical significance between the two groups, there was a significant downward trend after the intervention. According to the results of Outpatient Satisfaction Evaluation Form, the differences in reliability, responsiveness, assurance, empathy, hospital image, transfer cost, overall satisfaction, and loyalty of the two groups were statistically significant. （P〈0. 05）. Conclusion The combination of mental health and physi-cal therapy and individualized continuous mental health management can effectively improve patients？ mental state and quality of life, and improve the satisfaction of outpatients.