意义疗法对诱导期血液透析患者不良情绪和希望水平的影响

Effects of logotherapy on negative emotions and hope level in patients with hemodialysis duing induction period

目的探讨意义疗法对诱导期血液透析患者不良情绪和希望水平的影响。方法采用便利抽样法选取2018年3月至2020年5月该院肾内科首次接受血液透析患者84例作为研究对象,随机分为观察组和对照组,每组42例。对照组采用常规护理,观察组在常规护理基础上应用意义疗法进行干预。比较两组患者干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)、Herth希望水平(HHI)量表得分情况。结果观察组患者干预后SAS、SDS得分均明显低于对照组,HHI量表总分及各维度得分均明显高于对照组,差异均有统计学意义(P<0.05)。结论意义疗法可有效改善患者不良情绪,提高患者的希望水平,有利于诱导期血液透析患者平稳过渡至规律透析阶段。

Objective To explore the effects of logotherapy on the negative emotions and hope level in the patients with hemodialysis during induction period.Methods A total of 84 patients receiving first-time hemodialysis in the nephrology department of this hospital from March 2018 to May 2020 were selected as the study subjects by the convenient sampling and randomly divided into the observation group and control group,42 cases in each group.The control group adopted the conventional nursing care,while the observation group used the logotherapy on the basis of conventional nursing care.The scores of the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Herth Hope Index Scale after intervention were compared between the two groups.Results The SAS and SDS scores after intervention in the observation group were significantly lower than those in the control group,the total score of HHI and scores of various dimensions in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The logotherapy can effectively improve the patients’negative emotions,increase the patients’hope level,and is beneficial for hemodialysis patients in induction stage to transition smoothly to regular dialysis stage.