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目的:探讨心理护理干预在维持性血液透析患者护理中的应用效果。方法:将173例维持性血液透析患者随机分为两组,其中干预组87例,对照组86例。对照组接受常规护理,干预组在常规护理基础上接受心理护理干预。干预前和干预3个月后,分别采用症状自评量表(SCL-90)和SF-36生活质量量表评估两组患者心理状态和生活质量并比较。结果:心理护理干预后,干预组SCL-90各项因子得分均明显低于对照组,差异有统计学意义(t=8.603,12.382,9.415,10.363,10.119,8.906,8.804,9.388,5.746;P<0.05);干预组SF-36各个角度得分均明显高于对照组,差异有统计学意义(t=9.861,9.453,13.329,10.721,11.190,14.020,9.585,14.071;P<0.05)。结论:心理护理干预可以有效改善维持性血液透析患者心理状况,提高患者生活质量。
Objective: To investigate the effect of psychological nursing intervention in the maintenance of hemodialysis patients. Methods: 173 patients with maintenance hemodialysis were randomly divided into two groups, of which 87 cases in the intervention group and 86 cases in the control group. The control group received routine nursing, and intervention group received psychological nursing intervention on the basis of routine nursing. Before intervention and 3 months after intervention, the psychological status and quality of life of the two groups were evaluated by SCL-90 and SF-36 quality of life questionnaire respectively. Results: After psychological nursing intervention, SCL-90 scores in intervention group were significantly lower than those in control group (t = 8.603,12.382,9.415,10.363,10.119,8.906,8.804,9.388,5.746; P <0.05). SF-36 scores in all intervention groups were significantly higher than those in control group (t = 9.861,9.453,13.329,10.721,11.190,14.020,9.585,14.071; P <0.05). Conclusion: Psychological nursing intervention can effectively improve the psychological status of maintenance hemodialysis patients and improve the quality of life of patients.