情志护理对长期血液透析老年糖尿病肾病患者负面情绪、自我行为管理的影响

Influence of emotional nursing on negative emotions and self-behavior management of elderly patients with diabetic nephropathy treated by long-term hemodialysis

目的探讨情志护理对长期血液透析老年糖尿病肾病(DN)患者负面情绪、自我行为管理的影响。方法选取2016年6月~2018年6月我院长期血液透析的70例老年DN患者,按照随机数字表法将其分为对照组和观察组,每组各35例。对照组实施常规护理,观察组实施情志护理,比较两组护理前及护理3个月后抑郁、焦虑情绪、自我行为管理评分及生活质量[糖尿病生活质量特异性量表(DSQL)]。结果护理3个月后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于护理前,且观察组SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05);两组自我行为管理评分高于护理前(P<0.05),且观察组高于对照组,差异均有统计学意义(P<0.05);两组生活质量中生理维度、心理维度、社会关系维度、治疗维度及总评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论情志护理能有效改善长期血液透析老年DN患者的负面情绪及自我行为管理,提高患者生活质量。

Objective To explore the effects of emotional nursing on negative emotions and self-behavior management of elderly patients with diabetic nephropathy(DN)treated by long-term hemodialysis.Methods Seventy elderly DN patients with long-term hemodialysis in our hospital from June 2016 to June 2018 were enrolled.The patients were divided into control group and observation group according to the random number table method,35 cases in each group.The control group was given routine nursing,and the observation group was given emotional nursing.The depression,anxiety,self-behavior management score and quality of life diabetes specific quality of life(DSQL)were compared between the two groups before nursing and after 3 months of nursing.Results After 3 months of nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before nursing(P<0.05),and the SAS,SDS score in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The scores of self-behavioral management in the two groups were higher than those before nursing,and the score in observation group was higher than that in control group,the differences were statistically significant(P<0.05).The scores of physiological dimension,psychological dimension,social relationship dimension and treatment dimension and total score of quality of life scale in the two groups were lower than those before nursing,and the scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Emotional nursing can effectively improve the negative emotions and self-behavior management and promote the quality of life of elderly DN patients with long-term hemodialysis.