摘要
目的探讨精细化护理干预改善维持性血液透析患者负性情绪、生活质量的效果。方法选取该院2017年2月~2018年2月收治的维持性血液透析患者106例,按照随机数表法分为对照组和观察组,各53例。血液透析期间,对照组患者给予常规护理干预,观察组在常规护理干预的基础上给予精细化护理干预。比较两组患者干预前后的生活质量、负性情绪以及社会支持与社会回避、苦恼评分。结果护理干预前,两组患者的KDQOL-SFTM(Kidney Disease and Quality of Life Short Form)评分比较,差异无统计学意义(P>0.05);观察组患者干预后的KDQOL-SFTM评分为(65.18±10.57)分,高于对照组的(59.27±10.24)分,差异有统计学意义(P<0.05);护理前,两组患者的负性情绪评分比较,差异无统计学意义(P>0.05);两组护理后的SAS(Self-Rating Anxiety Scale)、SDS(Self-Rating Depression Scale)评分均低于护理前,研究组相比对照组降低更为显著,差异有统计学意义(P<0.05)。干预后,两组的SSRS(Social Support Rating Scale)评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);两组的SAD(Social Avoidance and Distress Scale)评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论给予接受维持性血液透析治疗的患者精细化护理干预可有效改善其生活质量,提高其心理健康状态,进而帮助患者回归社会,值得临床推广。
Objective To explore the effect of fine nursing intervention on improving negative emotion and quality of life in patients with maintenance hemodialysis.Methods A total of 106 cases of maintenance hemodialysis patients who were enrolled in this hospital from February 2017 to February 2018 were randomly divided into control group and observation group according to the random number table method,53 cases in each group.During hemodialysis,the patients in the control group were given routine clinical nursing interventions for hemodialysis,and the patients in the observation group were given Refined nursing intervention based on routine nursing interventions.The quality of life,adherence to treatment,social support,social avoidance,and distress scores were compared between the two groups before and after intervention.Results Before the nursing intervention,there was no significant difference in KDQOL-SFTM(Kidney Disease and Quality of Life Short Form)scores between the two groups(P>0.05).The KDQOL-SFTM score in the observation group was(65.18±10.57)points,which was higher than that in the control group(59.27±10.24)points,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in the scores of negative emotion(SAS,SDS)indexes between the two groups(P>0.05).The SAS(Self-Rating Anxiety Scale)and SDS(Self-Rating Depression Scale)scores of the two groups after nursing were lower than those before nursing.Compared with the control group,the reduction in the study group was more significant,and the difference was statistically significant(P<0.05).After intervention,SSRS(Social Support Rating Scale)scores of both groups were higher than before intervention,and the study group was higher than the control group,with statistically significant differences(P<0.05).Social Avoidance and Distress Scale scores of both groups were lower than before intervention,and the research group was lower than the control group,with statistically significant differences(P<0.05).Conclusions Refined nursing intervention for patients undergoing maintenance hemodialysis can effectively improve their quality of life,improve treatment compliance,and help patients return to society,which is worthy of clinical promotion.
作者
胡曼丽
傅文丽
郑群笑
Hu Manli;Fu Wenli;Zheng Qunxiao(Blood Purification Center,Shanwei People's Hospital,Guangdong Province,Shanwei 516600,China)
出处
《国际护理学杂志》
2019年第19期3180-3183,共4页
international journal of nursing
关键词
维持性血液透析
精细化护理干预
生活质量
负性情绪
社会回避
Maintenance hemodialysis
Refined nursing intervention
Quality of life
Negative emdotion
Social avoidance
