维持性血液透析患者心理特征调查及护理.docVIP

精品论文 参考文献 维持性血液透析患者心理特征调查及护理 吴邯1 韩若东 刘芳 程丽 张莹莹 　　【摘 要】 目的 分析维持性血液透析患者的心理特征，探讨有针对性的心理干预在血液透析患者中的应用效果。方法 将69例维持性血液透析患者随机分为对照组(S组）和干预组（G组），对照组采用常规的血液透析护理，干预组在此基础上进一步根据患者的心理状况有针对性的心理干预。采用SCL-90量表对两组患者进行干预前及干预后3月的心理评估。结果 经过针对性的心理干预，干预组心理健康状况显著优于对照组。说明良好的心理干预能在一定程度上减少或减缓患者心理疾病的发生。结论 维持性血液透析患者存在明显的心理问题，采取针对性的心理干预具有明确的疗效，有利于促进病人的心理康复，提高透析病人治疗的依从性及透析质量。 　　【关键词】 血液透析； SCL-90； 心理干预 　　Mental health of undergoing maintenance hemodialysis patients and the Strategies of Nursing Care. WU Han, Han Ruo Dong,Liu Fang,Cheng Li,Zhang Ying Ying Department of Blood Purification Centre, Bozhou Peoples Hospital Bozhou 236800 china. 　　 　　【Abstract】 Objective To analyze the mental health status of undergoing maintenance hemodialysis patients and evaluate the Pertinent psychological intervention application effect in theses patients. Methods 69 patients were randomly assigned to the intervention group(G group ,37 patients)or the control group(S group, 32 patients).The S group received the conventional hemodialysis nursing, The G group received the conventional conventional hemodialysis nursing combined with the Pertinent psychological intervention.The psychological health status of all the patients were assessed three months before and after the intervention with SCL-90 psychological assessment scale. Result The G group patients showed better mental state than the S group. Suggesting the pertinent psychological intervention reduce the occurrence of mental illness. Conclusion There is apparent mental disorder in patients undergoing maintenance hemodialysis.The Pertinent psychological intervention have the obvious auxiliary curative effect，and can improve patient adherence to treatment of dialysis. 　　【Key words】 Maintenance hemodialysis； SCL-90； psychological intervention 　　前 言 　　血液透析（hemodialysis,HD)是一种不完成的肾脏替代治疗，临床上将接受3个月以上血液透析治疗的患者称为维持性血液透析（maintenance hemodialysis,MHD)患者。MHD是肾脏病终末期患者维持生命的主要治疗方法，长期的血液透析将给患者在经济和心理上产生较大的压力，如不重视及及时给予心理干预将会对患者的血液透析疗效及患者的生存质量产生负面影响[1]。因此开展有