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目的 分析血液透析患者的心理健康水平 ,提高其生活质量。方法 采用症状评量表 ( SCL-90 )生活事件和社会支持评定量表 ,对维持血液透析患者和健康患者各 3 0例作配对对照调查。结果 调查显示血液透析病人组SCL-90的总痛苦水平及各因子分均高于对照组 ( P <0 .0 0 2 ) ,社会支持总分与 SCL-90的总痛苦水平呈负相关 ( P <0 .0 1 ) ,而生活事件负性分与 SCL-90的总痛苦水平呈正相关 ( P <0 .0 0 1 )。结论 对维持血液透析患者在充分透析及药物治疗的同时 ,应意识到其心理因素对疾病及治疗产生的影响 ,适当的心理治疗 ,提高患者的生活质量
Objective To analyze the mental health of hemodialysis patients and improve their quality of life. Methods The SCL-90 life event and social support rating scale were used to investigate the relationship between hemodialysis patients and healthy subjects. Results The total level of pain and the factors of SCL-90 in hemodialysis patients were higher than those in control group (P0.002). The total social support scores were negatively correlated with the total pain level of SCL-90 (P <0.01), while the negative score of life events was positively correlated with the total pain level of SCL-90 (P <0.01). Conclusion To maintain hemodialysis patients in adequate dialysis and drug treatment at the same time, should be aware of their psychological factors on the impact of disease and treatment, appropriate psychological treatment, improve patient quality of life