内外交互集成式心理护理应用于ESRD维持性血液透析患者的效果

Effect of Internal and External Interactive Integrated Psychological Nursing on Maintenance Hemodialysis Patients with ESRD

目的:探讨内外交互集成式心理护理应用于终末期肾病(ESRD)维持性血液透析患者的效果。方法:选取2020年12月—2022年12月在泰州市第三人民医院接受维持性血液透析治疗的82例ESRD患者作为研究对象,采用随机数表法将患者分为对照组与观察组,各41例。对照组给予常规护理,观察组在对照组基础上实施内外交互集成式心理护理。比较两组心理情绪、应对方式问卷(CSQ)评分、透析效果及安全性。结果:护理后,两组精简版抑郁-焦虑-压力量表(DASS-21)评分、CSQ评分较护理前降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组透析后1个月、3个月尿素清除率(KT/V)、尿素氮下降率(RR)高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P<0.05)。结论:内外交互集成式心理护理应用于ESRD维持性血液透析患者可有效改善心理情绪与应对方式,进一步提升透析效果与安全性。

Objective:To investigate the effect of internal and external interactive integrated psychological nursing on maintenance hemodialysis patients with end-stage renal disease(ESRD).Method:A total of 82 ESRD patients who received maintenance hemodialysis in the Third People's Hospital of Taizhou from December 2020 to December 2022 were selected as the research objects,the patients were divided into the control group and the observation group by random number table method,with 41 cases in each group.The control group was given routine nursing,and the observation group was given internal and external interactive integrated psychological nursing on the basis of the control group.The psychological emotion,coping style questionnaire(CSQ)score,dialysis effect and safety were compared between two groups.Result:After nursing,the reduced depression-anxiety-stress scale(DASS-21)scores and CSQ scores of two groups were lower than those before nursing,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the urea clearance rate(KT/V)and urea nitrogen reduction rate(RR)in the observation group at 1 month and 3 months after dialysis were higher than those of the control group,the differences were statistically significant(P<0.05);the incidence of adverse events the observation group was 4.88%,which was lower than 19.51%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of internal and external interactive integrated psychological nursing in ESRD maintenance hemodialysis patients can effectively improve psychological emotions and coping styles,as well as further enhance the effect and safety of dialysis.