全程无缝隙护理模式对维持性血液透析患者情绪障碍及生活质量的影响

发布时间：2018-06-15 05:11

  本文选题：维持性血液透析 + 全程无缝隙护理　； 参考：《国际精神病学杂志》2016年06期

【摘要】：目的探讨在维持性血液透析(MHD)患者中开展全程无缝隙护理模式对其情绪障碍及生活质量的影响。方法选取2015年3月~2016年3月我院接受MHD治疗患者84例,随机分为观察组与对照组,42例每组。对照组施行常规护理模式,观察组从医院至家庭施行全程无缝隙护理模式。分别于护理前及护理3个月后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组的情绪状况,采用简明健康量表(SF-36)评价生活质量,统计并比较两组的并发症发生率。结果护理后3个月,观察组的SAS、SDS评分显著低于对照组(P0.05);护理后3个月观察组的SF-36量表各维度评分均显著高于对照组(P0.05);观察组并发症发生率为4.76%,显著低于对照组的30.95%(P0.05)。结论在MHD患者中应用全程无缝隙护理模式能够改善患者的情绪障碍并提高其生活质量,降低并发症发生率。
[Abstract]:Objective to explore the effect of the whole process seamless nursing mode on emotional disorders and quality of life in patients with maintenance hemodialysis (MHD). Methods Eighty-four patients with MHD from March 2015 to March 2016 were randomly divided into two groups: observation group (n = 42) and control group (n = 42). The routine nursing model was applied in the control group, and the seamless nursing mode was applied in the observation group from hospital to family. Before and after 3 months of nursing care, self rating anxiety scale (SAS) and self rating Depression scale (SDS) were used to evaluate the emotional status of the two groups, and the quality of life (QOL) was evaluated by the concise health scale (SF-36), and the incidence of complications in the two groups was counted and compared. Results three months after nursing, the SDS score of the observation group was significantly lower than that of the control group (P 0.05), the score of each dimension of the SF-36 scale in the observation group was significantly higher than that of the control group (P 0.05), and the incidence of complications in the observation group was 4.76, which was significantly lower than that in the control group (P 0.05). Conclusion the application of seamless nursing mode in MHD patients can improve the emotional disorders, improve their quality of life and reduce the incidence of complications.
【作者单位】： 西电集团医院;陕西省咸阳市中心医院;
【分类号】：R473.5
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本文编号：2020815