摘要
目的探讨精细化心理护理对血液透析深静脉置管患者的作用。方法选取我院2013年5月至2016年3月血液透析深静脉置管患者192例,随机分为研究组及对照组,研究组103例,对照组89例,研究组在常规护理的基础上采用精细化心理护理进行干预,对照组采取常规护理方法,采用Zung抑郁自评量表和Zung焦虑自评量表进行问卷调查和评定分析,比较观察两组患者间心理状况变化以及患者治疗依从性,并对上述观察指标进行统计学分析。结果研究组SDS评分及SAS评分均较对照组明显下降,差异有统计学意义(P<0.05),患者治疗依从性高于对照组,差异有统计学意义(P<0.05)。结论落实精细化心理护理措施可能减少血液透析深静脉置管患者焦虑、抑郁等心理状态的发生率,提高患者治疗依从性,从而提高患者生存质量。
Objective To explore the effect of detailed managing on hemodialysis patients with deep venous catheterization. Methods From May 2013 to March 2016,192 hemodialysis cases with deep venous catheterization were randomly divided into the research group( N = 103,treated with detailed managing upon basic additional nursing) or the control group( N = 89,treated with the basic additional nursing). Psychological state of the subjects was evaluated with the Zung Self-rating depression scale and Zung Selfrating anxiety scale. Statistical comparison of the psychological state and compliance between the groups were conducted. Results The SDS and SAS scores were statistically lower( P < 0. 025) and the compliance were statistically better( P < 0. 05) in the research group than those in the control group. Conclusion The application of the detailed managing might contribute to reducing the incidence of anxiety and depression,improving the compliance,and further enhancing the quality of life in the hemodialysis patients with deep venous catheterization.
作者
魏家宁
WEI Jianing(Urology Department,Chengdu Second People’s Hospital,Sichuan Chengdu 610017,China)
关键词
精细化
血液透析
心理护理
detailed managing
hemodialysis
vascular access
