心理护理干预在尿毒症维持性血液透析患者中的应用效果观察.doc

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1、心瓚户倒寺斤患訓的師效2018-03-2910:29:58中国现代医生2018年6期孙优异邵巧燕聂振禹李国富徐维维［摘要］目的觀察心理护理干预在尿毒症维持性血液透析患者中的应用效果。方法选取本院住院治疗的尿毒症维持性血液透析患者60例，根据护理方法不同随机分为干预组与对照组，每组各30例，对照组采取常规护理，干预组在常规护理的基础上增加心理护理下预，共观察3个月。比较分析两组患者干预前后的心理状态评分、治疗依从性及生活质量评分的变化情况。结果护理前两组SAS、SDS评分比较无显著差异；护理后，两组患者的负性心理明显改善，两组患者的SAS、SDS

2、评分分别显著低于护理前(P<0.05)；且干预组患者的SAS、SDS评分分别显著低于对照组(PvO.05)。护理后，干预组患者的治疗依从性明显提高，干预组患者的治疗依从率达93.33%(28/30),显著高于对照组70.00%(21/30),组间比较存在显著差异(P<0.05)。护理后，干预组患者的生活质量明显改善，干预组患者的躯体功能、情绪功能、角色功能和社会功能评分分别显著高于对照组，组间比较存在显著差异(PvO.05)。结论对尿毒症维持性血液透析患者在治疗中联合心理护理干预，有利于改善患者的负性心理，提高治疗依从性及生活质最，对于延长患者

3、的生存吋间和生活质最具有重要作用。［关键词］尿毒症；维持性血液透析：心理护理干预；生活质量［中图分类号］R473.5［文献标识码］B［文章编号］1673-9701(2018)06-0160-04［Abstract］ObjectiveToobservetheapplicationeffectofpsychologicalnursinginterventioninmaintenancehemodialysispatientswithuremia・Methods60uremiapatientswithmaintenancehemodialysistr

4、eatedinourhospitalwererandomlydividedintointerventiongroupandcontrolgroupaccordingtodifferentnursingmethods,with30casesineachgroup・Thecontrolgroupreceivedroutinenursing.Theinterventiongroupreceivedpsychologicalnursinginterventionbasedonroutinenursing.Thepatientswereobservedf

5、or3months・Thechangesofpsychologicalstatusscore,treatmentcomplianceandqualityoflifescorebetweenthetwogroupsbeforeandafterinterventionwerecomparedandanalyzed・ResultsTherewerenosignificantdifferencesinscoresofSASandSDSbetweenthetwogroupsbeforenursing.Afternursing,thenegativepsy

6、chologyofbothgroupsimprovedobviously.TheSASandSDSscoresofthetwogroupsweresignificantlylowerthanthosebeforenursing(P<0.05)・TheSASandSDSscoresofthepatientsintheinterventiongroupweresignificantlylowerthanthoseinthecontrolgroup(P<0.05)・Afternursing,thetreatmentcomplianeeoftheint

7、erventiongroupwassignificantlyimproved・Thetreatmentcomplianeerateoftheinterventiongroupwas93.33%(28/30),significantlyhigherthanthatofthecontrolgroup(70.00%,21/30)・Therewassignificantdifferencebetweenthetwogroups(P<0.05).Afternursing,thequalityoflifeoftheinterventiongroupwass

8、ignificantlyimproved.Thephysical,emotional,functionalandsocialfunctionscore