动力取向治疗对糖尿病肾病血液透析患者心理应激及治疗依从性的影响

Effect of dynamic orientation therapy on psychological stress and treatment compliance of patients with diabetic nephropathy undergoing hemodialysis

目的探讨动力取向治疗对糖尿病肾病血液透析患者心理应激及治疗依从性的影响。方法采用便利抽样法,选取2016年10月—2019年9月在嘉兴市第一医院接受治疗的120例糖尿病肾病血液透析患者为研究对象,采用随机数字表法分为对照组和干预组,各60例。对照组采用常规治疗与护理,干预组患者在此基础上实施动力取向治疗。比较两组患者干预前后的焦虑、抑郁评分和治疗依从性。结果干预组患者干预后的SAS评分、SDS评分低于对照组患者[(52.57±4.53)vs.(57.39±4.21)分,(45.89±3.90)vs.(49.87±4.29)分],差异均有统计学意义(P<0.05)。干预组患者干预后的饮食、服药依从性评分高于对照组患者[(59.65±5.82)vs.(53.11±6.76)分,(6.44±1.28)vs.(5.89±1.24)分],差异均有统计学意义(P<0.05)。干预组患者干预后的运动依从性优于对照组患者,差异有统计学意义(P<0.05)。结论动力取向治疗应用于糖尿病肾病血液透析患者中,可降低患者焦虑、抑郁情绪,提高患者的治疗依从性。

Objective To explore the effect of dynamic orientation therapy on psychological stress and treatment compliance of patients with diabetic nephropathy undergoing hemodialysis.Methods Using the convenient sampling method,a total of 120 patients with diabetic nephropathy undergoing hemodialysis who were treated in the First Hospital of Jiaxing from October 2016 to September 2019 were selected as the research objects.Using the random number table method,they were divided into the control group and the intervention group,with 60 cases in each group.The control group received conventional treatment and nursing,while patients in the intervention group received dynamic orientation therapy on this basis.The anxiety and depression scores and treatment compliance of patients in the two groups were compared before and after intervention.Results After intervention,SAS score and SDS score in the intervention group were lower than those in the control group[(52.57±4.53)vs.(57.39±4.21),(45.89±3.90)vs.(49.87±4.29)],and the differences were statistically significant(P<0.05).The scores of diet and medication compliance in the intervention group were higher than those in the control group[(59.65±5.82)vs.(53.11±6.76),(6.44±1.28)vs.(5.89±1.24)],and the differences were statistically significant(P<0.05).The exercise compliance of the intervention group after intervention was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Application of dynamic orientation therapy in patients with diabetic nephropathy undergoing hemodialysis can reduce anxiety and depression of patients and improve treatment compliance of them.