心理护理及健康指导对肾脏疾病透析期患者依从性和负性情绪及透析效果的影响

发布时间：2018-09-19 14:19

【摘要】：目的探讨心理护理及健康指导对肾脏疾病透析期患者依从性和负性情绪的影响,并观察透析效果。方法选取2014年6月-2016年6月在血液透析室接受透析治疗的肾脏疾病患者128例,将患者随机分为对照组和实验组各64例。对照组给予常规护理,实验组在对照组基础上加强心理护理及健康指导。采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评估2组患者的负性情绪;检测患者血尿素氮(BUN)、血肌酐(Cr)值,比较2组患者透析效果;比较2组患者依从性、透析知识和自护技能、满意度。结果实验组SAS和SDS评分分别为(51.23±8.19)分和(52.60±7.58)分,低于对照组的(56.42±8.70)分和(58.28±7.93)分,差异有统计学意义(P0.05),透析效果好于对照组,差异有统计学意义(Z=-1.968,P=0.049),患者依从性、透析知识和自护技能及满意度分别为(95.20±10.17)分、(93.49±11.28)分和(97.62±11.22)分,均高于对照组的(82.36±10.43)分、(87.16±11.05)分和(90.51±10.74)分,差异有统计学意义(P0.05)。结论对肾脏疾病透析期患者加强心理护理及健康指导,能够提高患者获取知识及自我护理技能的能力及依从性,显著改善患者的负性情绪,提高透析效果。
[Abstract]:Objective to explore the effect of psychological nursing and health guidance on compliance and negative emotion of renal disease patients during dialysis period and observe the effect of dialysis. Methods from June 2014 to June 2016, 128 patients with renal diseases received dialysis in hemodialysis room were randomly divided into control group (n = 64) and experimental group (n = 64). The control group was given routine nursing, and the experimental group strengthened the psychological nursing and health guidance on the basis of the control group. Self-rating anxiety scale (self-rating anxiety scale,SAS) and self-rating depression scale (self-rating depression scale,SDS) were used to assess the negative emotion of the two groups, the blood urea nitrogen (BUN),) serum creatinine (Cr) value was measured to compare the dialysis effect of the two groups, and the compliance of the two groups was compared. Dialysis knowledge and self-care skills, satisfaction. Results the scores of SAS and SDS in the experimental group were (51.23 卤8.19) and (52.60 卤7.58), respectively, which were lower than those in the control group (56.42 卤8.70) and (58.28 卤7.93), respectively. The scores of dialysis knowledge, self-care skills and satisfaction were (95.20 卤10.17), (93.49 卤11.28) and (97.62 卤11.22), higher than those of the control group (82.36 卤10.43), (87.16 卤11.05) and (90.51 卤10.74), respectively (P0.05). Conclusion strengthening psychological nursing and health guidance for patients with renal disease during dialysis period can improve the ability and compliance of acquiring knowledge and self-nursing skills, improve the negative emotion of patients and improve the effect of dialysis.
【作者单位】：广东省阳山县人民医院内三区血透室;
【分类号】：R473.5

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