维持性血液透析患者心理干预及其效果观察

Exploring Clinical Effects of Psychological Intervention on Patients Treated with Maintenance Hemodialysis

目的探讨针对维持性血液透析患者给予心理干预,观察临床效果。方法选取2016年7月至2018年7月于我院内接受血液透析治疗的108例患者作为研究对象,采用随机数字表法分为两组相互对照,均给予两组患者常规的血液透析护理,设立研究组,给予患者心理干预,观察两组患者干预前后心理状况评分及生活质量评分。结果两组患者干预前的HAMA评分和BDI评分具有一致性,可用作研究对比;两组患者干预后HAMA评分和BDI评分均有所下降,研究组患者HAMA评分和BDI评分高于对照组患者;两组患者干预前的生活质量评分具有一致性,可用作研究对比;干预后,研究组患者生活质量评分,包括生理评分、心理评分、社会关系评分和环境评分均高于对照组患者,两组数据对比组间差异具有统计学意义(P<0.05)。结论针对维持性血液透析患者采用心理干预措施,可有效改善患者负性情绪,提高患者治疗依从性,改善患者生活质量,适用于临床。

Objective To explore clinical effects of psychological intervention on patients treated with maintenance hemodialysis.Methods 108 patients who treated with maintenance hemodialysis in China Resources & WISCO General Hospital from July 2016 to July 2018 were selected for study.They were divided into a control group and an observation group by random number table method for comparison.The patients in both groups were given routine hemodialysis care intervention.In addition,psychological intervention was adopted in the observation group. The psychological status scores and life quality scores of the patients were observed before and after intervention. Results HAMA score and BDI score of the patients before intervention were similar between the two groups,and therefore they could be compared after intervention.After intervention,HAMA score and BDI score decreased in both of the two groups,and the scores of the patients in the observation group were lower than those in the control group.The scores of life quality of the patients before intervention were similar between the two groups,and therefore they could be compared after intervention.After intervention,scores of life quality (including physiological score, psychological score,social relationship score,and environmental score) of the patients in the observation group were all higher than those in the control group,and the differences between the two groups were statistically significant (P< 0.05).Conclusion The application of psychological intervention in the patients treated with maintenance hemodialysis can effectively alleviate negative emotions of the patients,improve their treatment compliance,and improve their quality of life.Therefore,it is suitable for clinical application.