焦点解决护理干预对血液透析患者焦虑抑郁情绪及生活质量的影响

摘要

目的 探究与分析焦点解决护理干预对血液透析患者焦虑抑郁情绪及生活质量的影响.方法 选取本院自2013年9月至2015年9月收治的90例血液透析患者,采取随机数字表法分为对照组与观察组,每组45例;对照组仅给予常规护理,观察组加用焦点解决护理干预,对比两组患者行护理干预后并发症发生率、行护理干预后SCL-90评分情况及KDQOL-SFTM透析患者生存治疗评分情况.结果 两组患者行不同护理干预后,观察组并发症发生率为13.33％,对照组并发症发生率为31.11％,对照组并发症发生率明显高于观察组,差异具有统计学意义(P＜0.05).观察组患者较对照组相比,其护理后SCL-90各项评分情况均明显改善(P＜0.05).两组患者行护理干预前,KDQOL-SF量表各项评分均无明显差异(P＞0.05).干预后,两组患者症状、肾病影响、肾病负担、工作状态、认知功能、社交质量、性功能、睡眠、社会支持、医护鼓励、患者满意度等11个维度评分均较干预前改善,且观察组患者较对照组相比,维度评分明显偏高差异具有统计学意义(P＜0.05).结论 焦点护理干预相比于常规护理可有效消除血液透析患者不良心理状态,降低并发症发生,提高生活质量.%Objective To explore and analyze the impact of focus-solving nursing intervention on the quality of life,anxiety,and depression in hemodialysis patients.Methods 90 hemodialysis patients treated at our hospital from September,2013 to September,2015 were selected and divided into a control group and an observation group by a random number table method,45 cases for each group.The control group were routinely cared and the observation group received focus-solving nursing intervention.After nursing intervention,the incidence of complications and the scores of SCL-90 and KDQOL-SF were compared between these two groups.Results After nursing intervention,the incidence of complications was 13.33％ in the observation group and was 31.11％ in the control group,with a statistical difference (P＜0.05);the scores of SCL-90 were significantly better in the observation group than in the control group (P＜0.05).There were no statistical differences in the scores of KDQOL-SF between these two groups before intervention (P ＞ 0.05);after intervention,the scores of symptoms,kidney disease,kidney disease burden,work status,cognitive function,social life quality,sexual function,sleep quality,social support,health care,patient satisfaction,and so on were better than before and in the observation group than in the control group,with statistical differences (P＜0.05).Conclusions Focus-solving nursing intervention can effectively eliminate the adverse psychological status in patients receiving hemodialysis,reduce complications,and improve the quality of life.