个体化心理护理在维持性血液透析治疗中的作用.docVIP

精品论文 参考文献 个体化心理护理在维持性血液透析治疗中的作用 （西电集团医院肾内科透析室 陕西 西安 710077） 【摘 要】目的：探讨个体化心理护理在维持性血液透析治疗中的作用。方法：选取2014年3月至2015年3月经治的维持性血液透析患者75例作为观察对象，并随机分为对照组（给予常规护理）和观察组（给予个体化心理护理），对比分析两组患者焦虑、抑郁量表（HAMA、HAMD）得分、个人生存质量自评满意度。结果：心理护理前两组间HAMD、HAMA的差异无统计学意义（P＞0.05）。心理护理后，观察组HAMD为7.76plusmn;1.85，HAMA为7.34plusmn;1.78，对照组分别为11.84plusmn;2.26和10.26plusmn;2.09，两组间的差异有统计学意义（P＜0.01）；观察组患者对个人生活质量感到满意者也明显多于对照组(P＜0.05）。结论：个体化心理护理在维持性血液透析治疗中的效果明显，可改善患者焦虑与抑郁??状，提高治疗依从性，进而提高患者生存质量和生存时间，具有推广价值。 【关键词】 心理护理；血液透析；作用 【中图分类号】R473 【文献标识码】B 【文章编号】1004-6194（2015）02-0483-02 Objective to explore the clinical effect of individualization psychical nursing in maintenance hemodialysis patients WU Jin，YANG Hai-xia，PEI Xue-lei Nephrology Department,Xian Electric Group Hospital，Shanxi 710077,China 【Abstract】 Objective To explore clinical effect of the individualization psychical nursing in maintenance hemodialysis patients(MHP). Methods The 75 MHP since March 2014 to March 2015 were divided randomly into 2 group. The patients of control group were treated with conventional nursing. The observer group were treated with the individualization psychical nursing. HAMD and HAMA and satisfaction degree of self evaluation for personal living quality were comparative analyzed. Results After the individualization psychical nursing,HAMD and HMAM in the observation group was lower than the control group(P＜0.01),HAMD was (7.76plusmn;1.85) versus (11.84plusmn;2.26),HAMA was (7.34plusmn;1.78) versus (10.26plusmn;2.09). Satisfaction degree of self evaluation for personal living quality in the observation group was higher than the control group(P＜0.05). Conclusion The individualization psychical nursing is an effective therapy on MHP,can significantly improve the patients anxiety and depression symptoms,and raise the treatment compliance,and raise the living quallity and the livingtime. 【Key words】 psychical nursing；hemodialysis；effect 维持性血液透析患者(maintenance hemodialysis patients，MHP)大多存在程度不同的心理健康问