摘要
目的:探究双心护理对维持性血液透析(MHD)患者焦虑抑郁情绪的改善效果,为临床改善MHD患者身心健康提供新思路。方法:回顾性分析2020年1月—2021年12月宜春市人民医院收治的78例MHD患者临床资料,根据其护理方式分为常规护理组(常规组,39例)及双心护理组(双心组,39例)。比较两组患者干预前及干预12周后焦虑抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛自我效能[慢性疼痛自我效能感量表(CPSS)]、主观舒适度[舒适状况量表(GCQ)]差异,并记录两组护理服务期望与感知差距。结果:干预12周后,双心组SAS、SDS评分较干预前降低,且低于常规组,差异有统计学意义(t=4.229、6.883,P<0.05);双心组疼痛管理、躯体功能、症状应对CPSS评分及生理舒适、心理舒适、社会舒适、环境舒适GCQ评分均较干预前升高,且高于常规组(t=3.352、2.936、3.409、5.677、6.706、3.997、4.337,P<0.05)。双心组护理服务期望与感知差距评分明显低于常规组,差异有统计学意义(t=19.194,P<0.05)。结论:双心护理在改善MHD患者身心健康中发挥重要作用,还能提升护理满意度,应用效果好。
Objective:To investigate the effect of bicentric care on the improvement of anxiety and depression in patients on maintenance hemodialysis(MHD),and to provide new ideas for clinical improvement of physical and mental health of MHD pa⁃tients.Methods:The clinical data of 78 patients with MHD admitted to the hospital from January 2020 to December 2021 were retrospectively analyzed,and they were divided into the conventional care group(conventional group,39 cases)and the double car⁃diac care group(double cardiac group,39 cases)according to the care modality.The differences in anxiety and depression(Self-As⁃sessment Scale for Anxiety[SAS],Self-Rating Scale for Depression[SDS]),pain self-efficacy(Chronic Pain Self-Efficacy Scale[CPSS]),and subjective comfort(Comfortable Condition Scale[GCQ])were compared between the two groups before and after 12 weeks of intervention,and the difference in expectations and perceived gaps in care services between the two groups was recorded.Results:After 12 weeks of intervention,SAS and SDS scores were lower in the double cardiac group than before the intervention and lower than in the conventional group,with statistically significant differences(t=4.229,6.883,P<0.05).Pain management,somatic function,symptom response CPSS scores and physical comfort,psychological comfort,social comfort,and environmental comfort GCQ scores were higher in the double cardiac group than before the intervention and were higher than in the conventional group,with statistically significant differences(t=3.352,2.936,3.409,5.677,6.706,3.997,4.337,P<0.05).The expectation and per⁃ceived gap scores of nursing services in the double cardiac group were significantly lower than those in the conventional group,and the difference was statistically significant(t=19.194,P<0.05).Conclusion:Double cardiac care plays an important role in improving the physical and mental health of MHD patients,and also enhances nursing satisfaction with good application.
作者
徐茜茜
高亚丽
江霞
XU Qian-qian;GAO Ya-li;JIANG Xia(Haemodialysis Room,Yichun People’s Hospital,Yichun,Jiangxi,336000,China)
出处
《黑龙江医学》
2023年第11期1382-1385,共4页
Heilongjiang Medical Journal
关键词
维持性血液透析
心血管疾病
双心护理
焦虑
抑郁
疼痛自我效能
Maintenance hemodialysis
Cardiovascular disease
Double cardiac care
Anxiety
Depression
Pain self-efficacy
