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

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1、心IS户歸黑患酎的iSffl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［摘耍］戸的觀察心理护理干预在尿毒症维持性血液透析患者屮的应用效果。方法选取木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T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干预，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惜况。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SA

2、S、SDS评分分别显著低于护理前(PvO.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(PvO.05)。护理后，干预组患者的生活质屋明显改善，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T•预，有利于改善患者的负性心理，提高治疗依从性及生活质量

3、，对于延长患者的生存时间和生活质量具有重要作用。［关键词］尿毒症；维持性血液透析；心理护理十预；生活质量［中图分类号］R473.5［文献标识码］B［文章编1673-9701(2018)06-0160-04［Abstract］ObjectiveToobservetheapplicationeffectofpsychologicalnursinginterventioninmaintenancehemodialysispatientswithuremia・Methods60uremiapatientswithmaintenancehemodial

4、ysistreatedinourhospitalwererandomlydividedintointerventiongroupandcontrolgroupaccordingtodifferentnursingmethods,with30casesineachgroup.Thecontrolgroupreceivedroutinenursing.Theinterventiongroupreceivedpsychologicalnursinginterventionbasedonroutinenursing.Thepatientswereob

5、servedfor3months・Thechangesofpsychologicalstatusscore,treatmentcomplianceandqualityoflifescorebetweenthetwogroupsbeforeandafterinterventionwerecomparedandanalyzed・ResultsTherewerenosignificantdifferencesinscoresofSASandSDSbetweenthetwogroupsbeforenursing.Afternursing,theneg

6、ativepsychologyofbothgroupsimprovedobviously.TheSASandSDSscoresofthetwogroupsweresignificantlylowerthanthosebeforenu「sing(P<0.05)・TheSASandSDSscoresofthepatientsintheinterventiongroupweresignificantlylowerthanthoseinthecontrolgroup(P<0.05)・Afternursing,thetreatmentcompliane

7、eoftheinterventiongroupwassignificantlyimproved・Thetreatmentcomplianeerateoftheinterventiongroupwas93.33%(28/30),significantlyhigherthanthatofthecontrolgroup(70.00%,21/30)・Therewassignificantdiffereneebetweenthetwogroups(P<0.05).Afternursing,thequalityoflifeoftheinterventio

8、ngroupwassignificantlyimproved.Thephysical,emotional,functionalandsocialfunctionsc