综合护理干预措施在老年慢性肾功能不全患者焦虑情绪控制中的作用研究

Study on the Effect of Comprehensive Nursing Intervention in the Control of Anxiety in Elderly Patients with Chronic Renal Insufficiency

目的探讨综合护理干预对老年慢性肾功能不全患者焦虑情绪的影响。方法选择于2019年7月至2020年7月在我院接受治疗的200例慢性肾功能不全老年患者为研究对象,将这200例患者分为100例试验组和100例对照组。对对照组进行的护理方式是常规护理。对试验组患者进行综合护理干预。比较两组患者的负性情绪,分别选择焦虑自评量表(SAS)和抑郁自评量表(SDS)来分析两组患者的负性情绪。分值越高,表明患者越焦虑、抑郁。比较两组患者的生活质量评分,选择ADL(生活活动能力量表)来评判患者的生活质量,主要分为精神状态、焦虑、社会活动能力和抑郁4个方面。分值越低,表明患者的生活质量越好。比较两组患者的护理满意度和并发症发生率,护理满意度主要分为不满意、基本满意和满意3种。满意度=(满意例数+基本满意例数)/100×100%;并发症发生率=并发症例数/100×100%,本研究所涉及的并发症有水肿、感染以及电解质紊乱3种。结果护理干预开始前,两组患者的负性情绪无差异(P>0.05),护理结束后,试验组患者的SAS、SDS评分明显比对照组低(P<0.05)。护理结束后,试验组患者的生活质量评分明显比对照组低(P<0.05),表明护理干预结束2个月后,试验组患者的生活质量明显提高。试验组患者的护理满意度为95%,对照组患者的护理满意度为82%,试验组患者的护理满意度明显比对照组高(P<0.05,χ^(2)=8.3026);试验组患者的并发症发生率为4%,对照组患者的并发症发生率为20%,试验组患者的并发症发生率明显比对照组低(P<0.05,χ^(2)=12.1212)。结论对慢性肾功能不全的老年患者施以护理干预可以使患者的负性情绪得以缓解,提高患者的生活质量和护理满意度,减少不良反应现象的发生,效果理想,具有一定的临床价值。

Objective To explore the effect of comprehensive nursing intervention on anxiety of elderly patients with chronic renal insufficiency.Methods Two hundred elderly patients with chronic renal insufficiency who were treated in our hospital from July 2019 to July 2020 were selected as the research objects,and they were divided into 100 cases of experimental group and 100 cases of control group.The control group was given routine nursing.The patients in the experimental group were given comprehensive nursing intervention.The negative emotions of the two groups were compared,and the negative emotions of the two groups were analyzed by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).The higher the score,the more anxious and depressed in patients.ADL(activity of life scale)was selected to evaluate the quality of life of patients,which was mainly divided into four aspects:mental state,anxiety,social activity ability and depression.The lower the score,the better the quality of life.Nursing satisfaction was divided into dissatisfaction,basic satisfaction and satisfaction.Satisfaction=(number of satisfied cases+number of basically satisfied cases)/100×100%;complication rate=number of complications/100×100%.The complications involved in this study include edema,infection and electrolyte disorder.Results Before the beginning of nursing intervention,there was no difference in the negative emotion between the two groups(P>0.05).After the end of nursing,the SAS and SDS scores of the experimental group were significantly lower than those of the control group(P<0.05).After the end of nursing,the quality of life score of patients in the experimental group was significantly lower than that in the control group(P<0.05),indicating that the quality of life of patients in the experimental group was significantly improved 2 months after the end of nursing intervention.The nursing satisfaction of patients in the experimental group was 95%,and that of patients in the control group was 82%.The nursing satisfaction of patients in the experimental group was significantly higher than that of the control group(P<0.05,χ^(2)=8.3026);the complication rate of patients in the experimental group was 4%,and that of patients in the control group was 20%.The complication rate of patients in the experimental group was significantly lower than that of the control group(P<0.05,χ^(2)=12.1212).Conclusion Nursing intervention for elderly patients with chronic renal insufficiency can alleviate the negative emotions of patients,improve the quality of life and nursing satisfaction of patients,reduce the occurrence of adverse reactions,with ideal effect and certain clinical value.