Psychological analysis of hemodialysis patients and nursing.doc

Psychological analysis of hemodialysis patients and nursing [Keywords:] Hemodialysis Hemodialysis has become a safe and reliable renal replacement therapy. Chronic renal failure need life-long maintenance dialysis patients with multiple, long-term dialysis treatment to enable them to withstand a lot of pressure in spirit, will produce a variety of psychological problems. It is not only serious effects of dialysis, but significantly lower quality of life of patients. I Division in 2007 patients treated 178 patients with renal failure, psychological analysis and nursing now reported as follows. 1 Clinical data The first 178 patients were hemodialysis patients, 107 patients were male, female 71 cases, aged 15 to 78 years, mean 46.5 years old. Patients with varying degrees of psychological problems, mainly as tension, fear, emotional instability, depression pessimism, lack of confidence. 2 psychological reactions 2.1 initial dialysis First-line treatment of patients with dialysis, hemodialysis due to lack of knowledge of understanding of the hemodialysis room environment, unfamiliar medical equipment, especially the first time I saw a thick needle and pump the blood leads to blood in vitro, will produce tension, fear. 2.2 second dialysis Dialysis patients after the first dialysis after the initial understanding, but deep vein puncture or venous catheterization and other methods to establish vascular access in patients with pain exacerbated by the fear, the process is not particularly worried about the successful venipuncture. As different physical condition of patients in dialysis discomfort may occur in a variety of reactions such as nausea, vomiting, chest tightness, palpitation, hypotension. Dialysis three times more than 2.3 By two dialysis patients on hemodialysis have a certain understanding of uremic patients with chronic renal failure significantly reduced the clinical symptoms, the patient does not appear for dialysis also were