心理护理干预对老年尿毒症患者维持性血液透析治疗中的生活质量的影响

Effect of Psychological Nursing Intervention on Quality of Life in Maintenance Hemodialysis Patients with Uremia in the Elderly

目的观察心理护理干预对老年尿毒症患者维持性血液透析治疗中的生活质量的影响。方法随机选取该院2016年8月—2018年8月160例老年尿毒症患者为该次研究对象,所有患者均维持性血液透析治疗,按照是否应用心理护理干预将所有患者分为对照组(80例:常规护理)与实验组(80例:常规护理联合心理护理),比较两组患者预后情况。结果护理干预3个月及6个月后,实验组患者的SCL-90症状自评量表得分分别为(1.02±0.52)分、(0.36±0.05)分,相较于对应时间的对照组患者明显更低,组间差异有统计学意义(t=11.203、11.025,P<0.05)。护理干预3个月、6个月后实验组患者的SF-36简明生活质量量表得分分别达到了(57.26±4.62)分、(74.26±6.32)分,显著高于对应时间点对照组患者的得分,组间差异有统计学意义(t=15.632、16.754,P<0.05)。结论对于老年尿毒症维持性血液透析患者给予心理护理干预可有效降低患者负面心理应激反应,从而有利于改善患者机体状态,提高患者生活质量。

Objective To observe the effect of psychological nursing intervention on quality of life in maintenance hemodialysis patients with uremia.Methods A total of 160 elderly patients with uremia from August 2016 to August 2018 were enrolled in this study.All patients underwent maintenance hemodialysis.All patients were divided into control group according to whether or not psychological nursing intervention was applied(80 cases,routine nursing)and experimental group(80 cases:routine nursing combined with psychological nursing),the prognosis of the two groups was compared.Results After 3 months and 6 months of nursing intervention,the scores of SCL-90 symptom self-rating scale in the experimental group were(1.02±0.52)points and(0.36±0.05)points,respectively,which were significantly higher than those in the control group,the difference between groups was significant(t=11.203,11.025,P<0.05).After 3 months and 6 months of nursing intervention,the scores of the SF-36 concise quality of life scale of the experimental group reached(57.26±4.62)points and(74.26±6.32)points,which were significantly higher than those of the control group at the corresponding time points,differences between groups(t=15.632,16.754,P<0.05).Conclusion Psychological nursing intervention for elderly uremic maintenance hemodialysis patients can effectively reduce the negative psychological stress response of patients,which is beneficial to improve the patient's body condition and improve the quality of life of patients.