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1、心理干预在维持性血液透析患者中的影响价值李晓敏湖北省宜昌市中医医院摘要:目的:探讨心理干预在维持性血液透析患者屮的影响价值。方法:选择2015年8月-2016年8月在我院血液透析室行维持性血液透析的80例尿毒症患者为研究对象,采用随机数表法将患者分为观察组(n=40)和对照组(n=40)。予以对照组常规护理,观察组在对照组基础上给予心理干预措施。分析干预前后两组牛活质量评分,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较两组干预前后心理改善情况,自制问卷评估两组干预后患者满意度。结果:干预后观察组生活质量评分中生理机能、精神健康得分均比对照组、得分高,差异具有统计学意义(t=
2、6.758,4.137;P<0.05);干预后观察组SDS、SAS评分,显著低于对照组的,差异具有统计学意义(t二-15・693,-6.723;P<0.05);干预后观察组患者满意度为92.50%,显著高于对照组的57.50%,差异具有统计学意义(八二13.067,P<0.05)。结论:心理干预对维持性血液透析患者生活质量、情绪状态、满意度有正面影响。关键词:心理干预;维持性血液透析;影响价值;焦虑自评量表;抑郁自评量表;作者简介:李晓敏E-mai1:1ixiaominl11@163.com收稿日期:2017-10-12EffectofPsychologicalInterventio
3、nonMaintenanceHemodialysisPatientsLIXiaominYichangTraditionalChineseMedicineHosoitalofHubei;Abstract:Objective:Toanalyzetheeffectofpsychologicalinterventiononmaintenancehemodialysispatients.Methods:FromAugust2015toAugust2016inourhospital,80casesofuremicpatientsundergoingmaintenancehemodialysisw
4、ereseiectedastheresearchobjectanddividedintotheobscrvationgroup(n二40)andcontrolgroup(n二40)usingarandomnumbertablemethod.Thecontrolgroupwasgivenroutinenursing,whiletheobservationgroupwasgivenpsychologicalinterventiononthebasisofthecontrolgroup.Qualityoflifescorebeforeandaftertheintervention,thes
5、elfratingAnxietyScale(SAS),self:ratingDepressionScale(SDS)beforeanddftcrtheinterventionwerecompared,self-madegucstiorrnaircwasusedtoevaluatethepatientsatisfaction.Results:Aftertheintervention,thephysiologicalfunction,mentalhealthrespectivelyintheobservationgroupweresignificantlyhigherthanthosei
6、nthecontrolgroup,(t二6.758,4.137;P<0.05);theobservationgroupaftertheintervention,theSASscoreofSDSrespectivcly,wassignificantlylowerthanthecontrolgroup(t=-15.693,-6.723;P<0.05);Aftertheintervention,groppatientssatisfactionwas92.5%inobservationgroup,significantlyhigherthan57.5%inthecontrolgroup,(x
7、2=13.067,P<0.05).Conelusion:Psychologicalinterventionhasapositiveeffectonthequalityoflife,emotionalstateandsatisfactionofmeiintcnemcchemodialysispatients.Keyword:Psychologicalintervention;Maintenancehemodialysis;Influencevalue;SAS