整体护理干预对血液透析病人消极心理及生活质量影响的研究

摘要

Obj ective:To probe into influence of holistic nursing interven-tion on negative psychology and quality of life of hemodialysis patients,and provide the more humane nursing service for the patients.Methods:A total of 32 cases of uremia patients treated in our hospital from July in 2011 to May in 2012 were selected as control group,and the conventional nursing methods and measures were taken in department of nephrology;34 uremia patients treated in our hospital from July in 2012 to May in 2013 were se-lected as observation group,and psychological nursing intervention was taken for them based on the treatment for patients in control group.After hemodialysis treatment for 1 2 weeks,the Zung self rating anxiety scale (SAS),self rating depression scale (SDS)and SF 3 6 scale were used to evaluate psychological status and quality of life of hemodialysis patients in both groups.Results:The SAS and SDS scores in observation group were significantly lower than those in control group (P<0.05 ),the SF 36 scores after intervention in observation group were higher than that in con-trol group (P<0.05).Conclusion:Holistic nursing intervention can im-prove the negative psychological status of hemodialysis patients,improve the quality of life and therapeutic effect of hemodialysis patients.%[目的]探讨整体护理干预对血液透析病人消极心理及生活质量的影响，为该类病人提供更人性化的护理服务。[方法]选取我院2011年7月-2012年5月收治的32例尿毒症病人为对照组，采取常规肾内科护理方法与措施；选取我院2012年7月-2013年5月收治的34例尿毒症病人为观察组，在对照组的基础上采取心理护理干预。行血液透析治疗12周后，分别采用 Zung 焦虑自评量表(SAS)、抑郁自评量表(SDS)及 SF 36量表评估两组血液透析病人的心理状况及生活质量。[结果]观察组干预后 SAS 和 SDS 各项评分均明显低于对照组(P<0.05)，观察组干预后 SF 36项评分均高于对照组(P<0.05)。[结论]整体护理干预能有效改善血液透析病人的消极心理状况，提升其生活质量，有利于提高血液透析病人的治疗效果。