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目的：探索自我管理个体干预对老年血液透析患者正性情绪的影响，为血液净化中心老年患者的心理护理提供参考依据。方法：选择第四军医大学西京医院血液净化中心的老年患者32名作为研究对象，实施自我管理教育的个体干预措施，每周为每名患者一对一指导一次，每次约30分钟，持续7周。干预前、后分别对患者进行问卷调查，评价干预效果。结果：通过自我管理个体干预，患者正性情绪各维度得分升高，差异有统计学意义(P<0.05)，干预有效的患者29名，有效率为90.6%。结论：自我管理个体干预可有效提高老年血液透析患者的正性情绪，提示在患者透析过程中，血液净化中心的护士可对患者进行自我管理指导，增强患者自尊、自信、协调应对等正性情绪，提高患者自我管理能力。“,”Objective:To explore the effect of self-management individual intervention for positive mood of elderly patients treated with hemodialysis, in order to provide reference for psychological intervention for old patients in dialysis centers. Metheds:All the patients treated with hemodialysis in Xijing Hospital of The Fourth Military Medical University were recruited. The self-management education was carried out class in continuous 7 weeks, lasting about 30 minutes each time. The Scale of Psychological State(SPS) was used to evaluate the effects of self-management education before and after intervention. Results:After intervention, all the patients had higher signiifcantly positive mood scores (P<0.05). Totally 29 patients (90.6%) in intervention group were improved greatly. Conclusion:Self-management individual intervention can effectively improve the positive mood of elderly dialysis patients. We suggest that nurses in dialysis centers provide self-management for their patients, so as to strengthen their positive mood such as self-conifdent and satisfaction, and their ability on disease management.