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目的:探讨家属参与护理模式应用于透析患者中效果。方法:选取于杭州市第三人民医院行透析的72例患者进行研究,按照护理方法不同分组为对照组与观察组,各36例。对照组行常规护理干预;观察组于常规护理干预基础上实施家属参与护理模式。通过医院自拟调查表来调查两组患者干预前、后遵医行为;应用焦虑自评量表(SAS)、抑郁自评量表(SDS)分别评价两组患者干预前、后焦虑、抑郁症状;采用世界卫生组织生存质量测定量表评价两组患者干预前、后生存质量状况。结果:观察组干预后行为锻炼、与医师交流及认知性症状管理评分分别为(19.68±7.25)分、(8.18±0.52)分、(8.93±0.76)分,明显高于对照组(14.82±4.68)分、(6.14±0.28)分、(6.82±0.96)分,t=(3.37,20.72,10.33),P=(0.00,0.00,0.00);两组干预后各项遵医行为评分明显高于干预前,P<0.05。观察组干预后焦虑、抑郁评分分别为(32.72±4.83)分、(41.86±3.69)分,明显低于对照组(38.75±6.27)分、(48.77±5.22)分,t=(4.57,6.48),P=(0.00,0.00);两组干预后焦虑、抑郁评分明显低于干预前,P<0.05。观察组干预后生理领域、心理领域、社会关系领域及环境领域得分明显高于对照组,两组干预后各生存质量指标得分明显高于干预前,P<0.05。结论:家属参与护理模式可有助于改善透析患者不良情绪,提高其遵医行为,促进其更好的配合医护人员治疗,提高其生存质量。
Objective: To investigate the effects of family members participating in nursing mode on dialysis patients. Methods: Totally 72 patients undergoing dialysis in the Third People ’s Hospital of Hangzhou City were enrolled. According to different nursing methods, the control group and the observation group were divided into 36 groups. The control group underwent routine nursing interventions. The observation group underwent routine nursing interventions and participated in the nursing model. The hospital self-made questionnaire was used to investigate the compliance of the two groups before and after intervention. SAS and SDS were used to evaluate the anxiety and depression before and after the intervention ; The WHO quality of life measurement scale was used to evaluate the quality of life before and after intervention in both groups. Results: The scores of behavioral training, communication with physicians and cognitive symptoms management in the observation group were (19.68 ± 7.25) points, (8.18 ± 0.52) points and (8.93 ± 0.76) points respectively, which were significantly higher than those in the control group (14.82 ± 4.68), (6.14 ± 0.28) points, (6.82 ± 0.96) points, t = (3.37,20.72,10.33), P = (0.00,0.00,0.00) Before intervention, P <0.05. The scores of anxiety and depression in the observation group were (32.72 ± 4.83) and (41.86 ± 3.69) points respectively, which were significantly lower than those in the control group (38.75 ± 6.27), (48.77 ± 5.22) and t = (4.57 and 6.48) , P = (0.00,0.00). The scores of anxiety and depression after intervention in both groups were significantly lower than those before intervention (P <0.05). After intervention, the observation group scored significantly higher than the control group in the fields of physiology, psychology, social relations and environment. The scores of each quality of life after intervention were significantly higher than those before intervention (P <0.05). Conclusion: Family members participating in nursing mode can help to improve the bad mood of dialysis patients, improve their compliance with medical practices, and promote their better cooperation with medical staff to improve their quality of life.