摘要
目的：探讨结构式心理干预对诱导期血液透析患者负性情绪的影响。方法将90例诱导期血液透析患者采用数字表法随机分为干预组（结构式心理干预组）45例和对照组（常规护理组）45例，对比两组患者干预2周后的护理满意度及干预前后的负性情绪状况。结果干预后干预组的满意度为95．5％，显著高于对照组的84．5％（χ^2＝6．362，P 〈0．05）；干预前两组患者的焦虑自评量表（SAS）及抑郁自评量表（SDS）评分差异均无统计学意义（t ＝2．41、1．78，均 P 〉0．05）；对照组干预前后 SAS 及 SDS 评分差异无统计学意义（t ＝2．98、2．72，均 P 〉0．05）；干预组患者经过护理干预后 SAS 及 SDS 评分均显著优于干预前（t ＝4.87、6.62，均 P 〈0．05）；且干预后干预组 SAS 及 SDS 评分均显著优于对照组（t ＝5．76、8．43，均 P 〈0.05）。结论对行诱导期血液透析治疗的尿毒症患者实施结构式心理干预，能有效地提高患者的护理满意度，改善透析患者诱导期的焦虑抑郁情绪。
Objective To investigate the influence of structural psychological intervention on negative emotion of hemodialysis patients during the induction period.Methods 90 hemodialysis patients in induction period were divided into intervention group（structural psychological intervention group,45 cases）and control group（conven-tional nursing group,45 cases）by the method of random number table.The satisfaction degree of nursing after two weeks nursing and negative emotional state before and after intervention were compared between the two groups. Results The satisfaction degree of the intervention group after nursing was 95.5%,which was higher than 84.5% of the control group（χ^2 =6.362,P 〈0.05）.The SAS score and SDS score of the two groups before nursing had no significant differences（t =2.41,1.78,all P 〉0.05）.While the SAS score and SDS score of the intervention group after nursing were significantly better than before intervention（t =4.87,6.62,all P 〈0.05）.And the SAS score and SDS score of the intervention group after nursing were significantly better than those of the control group（t =5.76, 8.43,all P 〈0.05）.Conclusion Structural psychological intervention on hemodialysis patients with uremia during the induction period can increase the nursing satisfaction of patients,relieve the anxiety and depression of hemodialysis patients during the induction period.
作者
张凤
徐萍飞
Zhang Feng Xu Pingfei(Zhejiang Chinese Medicine University, Hangzhou, Zhejiang 310018, China Blood Purification Center, Lihuili Estern Hospital of Ningbo Medical Center, Ningbo, Zhejiang 315000, China)
出处
《中国基层医药》
CAS
2017年第5期732-735,共4页
Chinese Journal of Primary Medicine and Pharmacy
