维持性控制干预联合心理疏导对ESRD血液透析患者的影响

The Effect of Maintenance Control Intervention Combined With Psychological Counseling on Hemodialysis Patients With ESRD

目的探讨维持性控制干预联合心理疏导对终末期肾病(end stage renal disease,ESRD)血液透析患者的影响。方法选取福建医科大学附属第二医院2022年1月—2023年1月入院进行血液透析治疗的206例ESRD患者。随机分为观察组和对照组,每组103例。对照组予以常规护理,观察组在常规护理基础上予以维持性控制干预联合心理疏导。比较2组护理后患者尿素降低率(urea reduction ratio,URR)、平均尿素清除指数(average urea clearance index,Kt/V)以及平均血细胞压积(packed cell volume,PCV);比较2组护理前后自我效能感量表(general self-efficacy scale,GSES)、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(selfrating depression scale,SDS)评分。结果护理后,观察组URR、Kt/V、PCV值分别为(66.13±4.28)%、(1.47±0.29)、(31.06±3.24)%,高于对照组的(61.39±5.01)%、(1.29±0.35)、(27.63±3.98)%(P<0.05);护理后,观察组GSES各维度得分高于对照组,SAS和SDS得分低于对照组(P<0.05)。结论维持性控制干预联合心理疏导通过制定规范的护理措施、及时与患者进行交流和沟通等护理措施,能提升患者自我效能感及改善患者负性情绪,进而提高患者血液透析治疗效果。

Objective To explore the effect of maintenance control intervention combined with psychological counseling on hemodialysis patients with end stage renal disease(ESRD).Methods A total of 206 ESRD patients admitted to the Second Affiliated Hospital of Fujian Medical University for hemodialysis treatment from January 2022 to January 2023.The random number table method was divided into observation group and control group,with 103 cases in each group.The control group was given routine nursing,and the observation group was given maintenance control intervention combined with psychological counseling on the basis of routine nursing.The urea reduction ratio(URR),average urea clearance index(Kt/V)and average packed cell volume(PCV)were compared between the two groups after nursing.General self-efficacy scale(GSES),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before and after nursing were compared between the two groups.Results After nursing,the URR,Kt/V and PCV values of the observation group were(66.13±4.28)%,(1.47±0.29)and(31.06±3.24)%,respectively,which were higher than those of the control group(61.39±5.01)%,(1.29±0.35)and(27.63±3.98)%(P<0.05).After nursing,the scores of GSES in the observation group were higher than those in the control group,and the scores of SAS and SDS were lower than those in the control group(P<0.05).Conclusion The combination of maintenance control intervention and psychological counseling can significantly improve patients'self-efficacy and negative emotions by formulating standardized nursing measures,timely communication and communication with patients,and thus improve the effectiveness of hemodialysis treatment.