延续性护理干预对老年慢性肾衰竭患者生活质量及心理状态的影响

Effect of Continuous Nursing Intervention on Quality of Life and Psychological State in Elderly Patients with Chronic Renal Failure

目的:探讨延续性护理干预对老年慢性肾衰竭患者生活质量及心理状态的影响。方法:选取2019年7月1日~2020年7月31日收治的94例老年慢性肾衰竭患者,以计算机完全随机分组法分为实验组和对照组各47例,对照组采用常规护理,实验组采用延续性护理干预;比较两组干预前后心理状态[采用90项症状检查表(SCL-90)]、自我护理能力[采用自我护理能力量表(ESCA)]及生活质量[采用健康调查简表(SF-36)]。结果:干预后,两组SCL-90中躯体化、人际关系、恐怖、抑郁、焦虑、敌对、精神病性、偏执、强迫症状及其他评分均低于干预前(P<0.01),且实验组低于对照组(P<0.01);干预后,两组ESCA中自我概念、自我责任感、自我护理技能、健康知识水平评分均高于干预前(P<0.01),且实验组高于对照组(P<0.01);干预后,两组SF-36中总体健康、生理功能、心理功能、精力评分均高于干预前(P<0.01),且实验组高于对照组(P<0.01)。结论:延续性护理干预可改善老年慢性肾衰竭患者心理状态和生活质量,值得进一步应用。

Objective:To explore the effect of continuous nursing intervention on the quality of life and psychological status in elderly patients with chronic renal failure.Methods:A total of 94 elderly patients with chronic renal failure admitted from July 1,2019 to July 31,2020 were selected and divided into the experimental group and the control group by the computer complete randomization with 47 cases in each group.The control group adopted routine nursing,and the experimental group adopted continuous care intervention.The psychological state by 90 symptom checklist(SCL-90),self-management ability by Exercise of Self-care Agency Scale(ESCA)and quality of life by the MOS item short from health survey(SF-36).Results:After the intervention,the SCL-90 in somatization,interpersonal relationship,terror,depression,anxiety,hostility,psychoticism,paranoia,force symptom and other scores were lower in both groups than those before intervention(P<0.01),and those in the experimental group were lower than those in the control group(P<0.01).After the intervention,the ESCA self-concept,personal responsibility,self care skills,and health knowledge scores were higher than those before intervention(P<0.01),and higher in the experimental group than those in the control group(P<0.01).After the intervention,the SF-36 general health,physical function,psychological function,and energy scores were higher in both groups than those before intervention(P<0.01),and those in the experimental group were higher than those in the control group(P<0.01).Conclusion:Continuous care intervention can improve the psychological state of elderly patients with chronic renal failure and their quality of life,which is further application.