聚焦心理护理对维持性血液透析患者的焦虑症状、压力知觉和行为陷阱的影响

Effects of Focalized Psychological Nursing on Anxiety Symptoms,Perceived Stress and Behavioral Traps in Maintenance Hemodialysis Patients

目的:探讨聚焦心理护理在维持性血液透析患者中的应用效果。方法:选取2019年12月—2022年1月抚州市第一人民医院收治的维持性血液透析患者160例,按随机数字表法分为两组,各80例。对照组采用常规护理,观察组实施聚焦心理护理,两组持续护理4周。比较两组焦虑症状、主观幸福感、压力知觉、行为陷阱、生活质量和护理满意度。结果:护理后,观察组焦虑自评量表(SAS)、压力知觉量表(PSS)评分均低于对照组,总体幸福感评估量表(GWB)评分高于对照组(P<0.05)。护理后,观察组行为陷阱评分低于对照组,健康调查简表(SF-36)评分均高于对照组(P<0.05)。观察组护理总满意度(97.50%)高于对照组(88.75%)(P<0.05)。结论:聚焦心理护理能够减轻维持性血液透析患者焦虑症状,有效提升患者主观幸福感,减轻压力知觉和行为陷阱,促进生活质量改善,从而获得更高的患者满意度。

Objective:To explore the application effect of focalized on psychological nursing in maintenance hemodialysis patients.Method:A total of 160 maintenance dialysis patients admitted to First People's Hospital of Fuzhou from December 2019 to January 2022 were selected and divided into two groups by random number table method,with 80 patients in each group.The control group received routine nursing,the observation group received focalized psychological nursing,and the two groups received continuous nursing for 4 weeks.Anxiety symptoms,subjective well-being,perceived stress,behavioral traps,quality of life and nursing satisfaction were compared between the two groups.Result:After nursing,the scores of self-rating anxiety scale(SAS)and perceived stress scale(PSS)in the observation group were lower than those in the control group,and the score of general well-being assessment scale(GWB)was higher than that in the control group(P<0.05).After nursing,the behavioral trap score of the observation group was lower than that of the control group,and the scores of the MOS item short form health survey(SF-36)were higher than those of the control group(P<0.05).The nursing total satisfaction of observation group(97.50%)was higher than that of control group(88.75%)(P<0.05).Conclusion:Focalized psychological nursing can reduce the anxiety symptoms of maintenance hemodialysis patients,effectively improve the subjective well-being of patients,reduce the perceived pressure and behavioral traps,promote the improvement of quality of life,and thus obtain higher patient's satisfaction.