中医情志护理干预对终末期肾病透析患者心理及生活质量的影响研究

Influence of Traditional Chinese Medicine emotion regulation on the psychological status and quality of life of patients undergoing hemodialysis for end-stage renal disease

目的探讨中医情志护理对肾病透析患者心理及生活质量的影响。方法将90例肾病透析患者随机分为观察组和对照组,各45例。对照组采用血液透析常规护理,观察组在对照组基础上实施中医情志护理干预。采用焦虑自测量表(SAS)和抑郁自测量表(SDS)进评估患者心理状态,采用肾脏疾病生活质量简表(KDQOL-SFTM1.3)评估患者生活质量。结果观察组焦虑、抑郁状况改善优于对照组,差异有统计学意义(P<0.05)。干预后,两组肾病相关生存质量(KDTA)各维度评分均升高,除工作状态(WS)维度,观察组均高于对照组,差异有统计学意义(P<0.05)。干预后,两组一般健康相关生存质量(SF-36)量表各维度评分均升高,且观察组评分高于对照组,差异有统计学意义(P<0.05)。结论肾病透析患者采用中医情志护理,有助于改善焦虑、抑郁情绪,提高其生活质量。

Objective To investigate the influence of Traditional Chinese Medicine(TCM)emotion regulation on the psychological status and quality of life of patients undergoing hemodialysis for end-stage renal disease.Methods Totally 90 patients undergoing hemodialysis for endstage renal disease were randomly divided into the observation group and control group,with 45 cases in each group.All patients received routine nursing interventions during hemodialysis,and patients in the observation group were given Traditional Chinese Medicine emotion regulation.The Self-rating Anxiety Scale and Self-rating Depression Scale were used to evaluate the psychological status,and Kidney Disease Quality of Life-Short Form(KDQOL-SFTM),Version 1.3 was used to evaluate quality of life of patients.Results Patients in the observation group achieved better outcome of SAS and SDS compared with those in the control group(P<0.05).Scores of Kidney Disease Quality of Life(KDTA)were increased in both two groups after intervention,and subscales scores of KDTA in the observation group were higher than those in the control group except for subscale of Working Status.Score of Short Form 36(SF-36)was increased in both two groups after intervention,and score of SF-36 in the observation group was higher than that in the control group(P<0.05).Conclusion Traditional Chinese Medicine emotion regulation is effective to relieve the negative emotions and improve the quality of life of patients undergoing hemodialysis for end-stage renal disease.