Objective To investigate the effect of evidence-based nursing intervention on negative emotion and quality of life in patients with chronic renal failure undergoing hemodialysis.Method 116 patients with chronic renal failure undergoing hemodialysis at our hospital from January,2014 to December,2016 were seleceted as research objects.According to the patients' hospitalized time,the patients were divided into a control group and an observation group,58 cases for each group.The control group were given related clinical treatment and routine nursing intervention;in addition,the observation group were given evidence-based nursing intervention.After 4 weeks' intervention,the changes of negative emotion and quality of life were statistically analyzed in the two groups.Results The SAS and SDS scores in the two groups were lower after than before intervention and the decreased degree of the observation group were significantly higher than those of the control group after intervention,with statistical differences (P ＜ 0.05).The scores of quality of life in the two groups after the intervention were significantly increased,and the increased degree in the observation group was significantly higher than that in the control group,with statistical differences (P ＜ 0.05).Conclusions Evidencebased nursing intervention can significantly reduce anxiety and depression in patients with chronic renal failure undergoing hemodialysis and improve their quality of life.It is more easily accepted by the patients and can be the first choice of nursing intervention for patients with chronic renal failure undergoing hemodialysis.%目的 探讨循证护理干预对慢性肾衰竭血液透析患者负性情绪及生活质量的影响.方法 选取2014年1月至2016年12月本院收治的116例慢性肾衰竭血液透析患者作为研究对象,根据患者入院治疗的时间先后顺序分为对照组和观察组,各58例.对照组在所患疾病临床治疗上予以常规护理干预,观察组在对照组基础上予以循证护理干预.两组患者均干预4周,干预结束后比较两组患者负性情绪、生活质量的变化情况,并对其进行统计分析.结果 两组干预后SAS、SDS评分均较干预前降低,且观察组降低程度明显大于对照组,差异具有统计学意义(均P＜ 0.05).两组干预后生活质量评分较干预前明显升高,且观察组升高程度明显大于对照组,差异具有统计学意义(均P＜ 0.05).结论 循证护理干预可明显减轻慢性肾衰竭血液透析患者焦虑和抑郁程度,提高其生活质量,且更易被患者所接受,可作为慢性肾衰竭血液透析患者治疗的首选的护理干预模式.
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