护理干预对尿毒症血液透析患者心理的影响

Effect of Nursing Intervention on Psychology of Uremic Hemodialysis Patients

目的:观察分析尿毒症血液透析患者实施护理干预对其心理的影响。方法:将2016年12月至2018年12月在本院就诊的74例尿毒症血液透析治疗患者按照随机抽签法分为研究组(37例,常规护理同时配合综合护理措施)和对照组(37例,实施常规护理干预),通过汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)分别评价患者焦虑、抑郁情绪,对比两组患者护理前后HAMA评分以及HAMD评分。结果:两组患者护理前HAMA评分、HAMD评分对比无明显差异(P>0.05),护理后两组患者HAMA评分、HAMD评分均有所下降(P<0.05),但研究组患者护理后HAMA评分、HAMD评分更低于对照组(P<0.05)。结论:尿毒症血液透析患者加强护理干预有利于调整患者心理状态,缓解焦虑、抑郁情绪,可广泛推广应用。

Objective:To observe and analyze the psychological effects of nursing intervention on uremic hemodialysis patients.Methods:74 patients with Uremia Treated by hemodialysis in our hospital from December 2016 to December 2018 were randomly divided into experimental group(37 cases,routine nursing combined with comprehensive nursing measures)and control group(37 cases,routine nursing intervention).Anxiety and depression were evaluated by Hamilton Anxiety Scale(HAMA)and Depression Scale(HAMD).The HAMA score and HAMD score before and after nursing were compared between the two groups.Results:There was no significant difference in HAMA score and HAMD score between the two groups before nursing(P>0.05).After nursing,HAMA score and HAMD score of the two groups decreased(P<0.05),but the HAMA score and HAMD score of the experimental group after nursing were lower than those of the control group(P<0.05).Conclusion:Strengthening nursing intervention for uremic hemodialysis patients is conducive to adjusting their psychological state,alleviating anxiety and depression,and can be widely applied.