自我管理对维持性血透患者负面情绪和生活质量的影响

The effect of self-management on improving the unhealthy emotions and quality of life in maintenance hemodialysis patients

目的:研究自我管理干预对提高维持性血液透析患者负面情绪和生活质量的影响。方法:选取2015年6月至2017年8月我院收治的维持性血液透析患者100例,根据干预方式分为观察组和对照组各50例,给予对照组常规护理干预,观察组在常规护理基础上加强患者自我管理干预,比较干预前后两组患者负面情绪和生活质量的不同。结果:干预前两组患者焦虑(SAS)、抑郁(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组患者SAS、SDS评分明显低于对照组,差异具有统计学意义(t=-4.045,-3.688;P<0.05)。干预前两组患者生活质量评价量表(short form 36questionnaire,SF-36)评分差异无统计学意义;干预后,观察组患者SF-36评分明显高于对照组,差异具有统计学意义(t=2.922,P<0.05)。结论:加强患者自我管理干预可明显改善维持性血透患者焦虑、抑郁等负面情绪,同时有效提高维持性血透患者的生活质量。

Objective:To study the effect of self-management on improving the unhealthy emotions and quality of life in maintenance hemodialysis patients.Methods:We selected the 100 maintenance hemodialysis patients from our hospital receiving in June 2015 to August 2017,divided them into observation group and control group according to the different nursing measures,50 cases in each group;The control group was given routine nursing care,the observation group was given strengthen patients’ self-management intervention on the basis of routine care.We compared the unhealthy emotions and the quality of life in the two groups.Results:There was no statistically significant difference between the two groups of patients in anxiety(SAS)and depression(P>0.05),After intervention,the SAS and SDS scores in the observation group were significantly lower than those in the control group,and the difference was statistically significant(t=-4.045,-3.688;P<0.05).There was no statistically significant difference between the two groups in SF-36 before intervention(P>0.05).After intervention,the SF-36 score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(t=2.922,P <0.05).Conclusion:Strengthening self-management intervention of patients can significantly improve the negative emotions such as anxiety,depression and other negative emotions,while effectively improving the quality of life of patients with maintenance blood.