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目的综合护理对药物中毒致急性肾衰竭患者生活质量及不良情绪的影响。方法选取石景山医院血液透析中心2015年6月—2016年11月收治的药物中毒致急性肾衰竭患者30例,随机将患者分为综合组与常规组,各15例。常规组患者予以常规护理,综合组患者予以综合护理。比较两组患者护理满意度,护理前后生活质量评分(环境、独立性、生理功能、心理状态、精神/宗教、社会关系)、不良情绪状态评分(强迫症状、偏执、焦虑、抑郁、恐怖、敌意、人际关系敏感、躯体化、精神病性、其他)。结果综合组患者护理满意度高于常规组(P<0.05)。护理前两组患者环境、独立性、生理功能、心理状态、精神/宗教、社会关系评分比较,差异无统计学意义(P>0.05);护理后综合组患者环境、独立性、生理功能、心理状态、精神/宗教、社会关系评分高于常规组(P<0.05)。护理前两组患者强迫症状、偏执、焦虑、抑郁、恐怖、敌意、人际关系敏感、躯体化、精神病性、其他评分比较,差异无统计学意义(P>0.05);护理后综合组患者强迫症状、偏执、焦虑、抑郁、恐怖、敌意、人际关系敏感、躯体化、精神病性、其他评分低于常规组(P<0.05)。结论综合护理可提高药物中毒致急性肾衰竭患者的生活质量和护理满意度,改善其不良情绪状态。
Objective To investigate the effect of comprehensive nursing on quality of life and adverse emotions in patients with acute renal failure caused by drug poisoning. Methods Thirty patients with acute renal failure caused by drug poisoning admitted to the Hemodialysis Center of Shijingshan Hospital from June 2015 to November 2016 were selected and randomly divided into general and conventional groups, 15 cases each. Conventional group of patients to be routine care, comprehensive group of patients to be integrated care. Quality of life scores (environment, independence, physiological function, mental status, spiritual / religious, social relations), adverse emotional state scores (obsessive compulsive symptoms, paranoid, anxiety, depression, terror, hostility , Interpersonal sensitivity, somatization, psychosis, others). Results The satisfaction degree of patients in the comprehensive group was higher than that of the conventional group (P <0.05). There was no significant difference in the scores of environment, independence, physiological function, mental state, spirit / religion and social relations between the two groups before nursing (P> 0.05). After nursing, the environmental, independence, physiological function, Status, mental / religious, social relations score higher than the conventional group (P <0.05). There were no significant differences in obsessive-compulsive symptoms, paranoid anxiety, anxiety, depression, terror, hostility, interpersonal sensitivity, somatization, psychosis, and other scores in the two groups before nursing (P> 0.05) , Paranoid, anxiety, depression, terror, hostility, interpersonal sensitivity, somatization, psychosis, and other scores were lower than the conventional group (P <0.05). Conclusion Comprehensive nursing can improve the quality of life and nursing satisfaction of patients with acute renal failure caused by drug poisoning and improve their bad emotional state.