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1、早期心理护理干预对长期血液透析患者生活质量的影响【摘要】目的:探讨早期心理护理干预对长期血液透析患者生活质量的影响。方法:选取笔者所在医院长期血液透析患者60例,根据电脑生成的随机数字表将所有患者分为试验组与对照组,每组30例,对照组患者给予常规护理方式,试验组患者在对照组的护理基础上给予心理护理干预。比较治疗前后两组患者抑郁自评量表及焦虑自评量表评分变化,其数据结果应用统计学软件SPSS19.0加以处理。结果:实行干预前两组患者SAS、SDS评分比较差异无统计学意义;护理干预后,试验组患者SAS、SDS评分明显低于对照组;与对照组相比,干预后
2、试验组患者的生活质量明显优于对照组。结论:早期心理护理干预能够提高长期血液透析患者的生活质量。【关键词】心理护理干预;长期血液透析;生活质量doi:10.14033/j.cnki.cfmr.2017.17.035文献标识码B文章编号1674-680517-0072-03EffectofEarlyPsychologicalNursingInterventiononQualityofLifeofPatientswithLongTermHemodialysis/KUANGLi-xia,TANChun-mei,ZHANGJia-hui.//Chines
3、eandForeignMedicalResearch,2017,15:72-74[Abstract]Objective:Toinvestigatetheeffectofearlypsychologicalnursinginterventiononthequalityoflifeoflong-termhemodialysispatients.Method:60casesinourhospitalonlong-termhemodialysiswereselected,accordingtoacomputergeneratedrandomnumber
4、table?allthepatientswererandomlydividedintotheexperimentalgroupandthecontrolgroup,30casesineachgroup,thecontrolgroupwasgivenroutinecare,theexperimentalgroupwasreceivedpsychologicalnursinginterventionbasedonthecontrolgroup.Beforeandaftertreatment,twogroupsofpatientswithdepres
5、sionselfratingscaleandselfratinganxietyscalescorechanges,theresultsofthedatausingstatisticalsoftwareSPSS19.0todealwith.Result:TheimplementationofnursinginterventioninthetwogroupsbeforeSASandSDSscoreshadnosignificantdifference;afternursingintervention,theSAS,SDSscoreintheexpe
6、rimentalgroupweresignificantlylowerthanthoseinthecontrolgroup,afterpsychologicalnursingintervention,thelifequalityintheexperimentalgroupwassuperiorthanthatinthecontrolgroup.Conclusion:Earlypsychologicalnursinginterventioncanimprovethequalityoflifeoflong-termhemodialysispatie
7、nts・【Keywords]Psychologicalnursingintervention:Longtermhemodialysis;QualityoflifeFirst-author"saddress:TheFifthHospitalAffiliatedtoZhongshanUniversity,Zhuhai519000,China血液透析❷称血透,是一种终身替代疗法[1],亦是血液净化技术的一种,其利用半透膜原理,通过扩散、对流等方式使体内过多电解质、各种有害物质、多余代谢废物移出体外,达到纠正水电解质、净化血液及平衡酸碱的目的,疗效明显
8、[2]。但透析治疗毕竟是一种非生理性状态,多数患者会在治疗阶段产生诸多心理不平衡,进而产生各种精神心理问题,例如对血透自身的恐惧及对预后效果的怀疑,故