夫妻自我表露护理干预对维持性血液透析患者恐惧及生活质量的影响

Effects of marital self-disclosure nursing on fear and quality of life of maintenance hemodialysis patients

目的:探讨夫妻自我表露护理干预对维持性血液透析患者恐惧及生活质量的影响。方法:选取2019年1—12月在浙江省金华市中心医院接受治疗的维持性血液透析患者106例为研究对象,采用随机数字表法分为对照组和干预组,每组53例。对照组采用常规护理,干预组患者在此基础上实施夫妻自我表露护理干预,采用恐惧疾病进展简化量表(FoP-Q-SF)和肾脏疾病特异性调查表(KDQ)比较干预前后两组患者恐惧疾病进展程度和生活质量的差异。结果:干预12周后,干预组患者恐惧疾病进展程度中生理健康维度为(15.2±1.8)分,社会家庭维度为(13.0±2.1)分,均低于对照组,差异有统计学意义(P<0.05)。干预12周后,干预组患者KDQ量表总分为(152.8±15.2)分,对照组为(138.9±15.7)分,差异有统计学意义(P<0.05)。结论:夫妻自我表露护理干预应用于维持性血液透析患者中,可降低患者恐惧程度,改善生活质量。

Objective To explore the effect of marital self-disclosure nursing on the fear and quality of life of maintenance hemodialysis patients.Methods From January to December 2019,106 maintenance hemodialysis patients who were treated at Jinhua Municipal Central Hospital in Zhejiang Province were selected as the research object.The patients were divided into the control group and the intervention group by random number table method,with 53 cases in each group.The control group conducted routine nursing,and the intervention group implemented marital self-disclosure nursing on this basis.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and the Kidney Disease Questionnaire(KDQ)were used to compare the fear of disease progression and quality of life between the two groups before and after intervention.Results After 12 weeks of intervention,the scores of physiological health dimension and social family dimension in the fear of disease progression in the intervention group were(15.2±1.8)and(13.0±2.1)respectively,which were lower than those of the control group,and the difference was statistically significant(P<0.05).After 12 weeks of intervention,the total KDQ score of the intervention group was(152.8±15.2),and that of the control group was(138.9±15.7),and the difference was statistically significant(P<0.05).Conclusions The application of marital self-disclosure nursing in maintenance hemodialysis patients can reduce the fear and improve the quality of life of patients.