护理干预对维持性血液透析患者抑郁和焦虑情绪及治疗依从性的影响

摘要

目的：探讨护理干预对维持性血液透析患者抑郁、焦虑情绪及治疗依从性的影响。方法：选取2012年9月—2015年10月接受维持性血液透析（MHD）治疗的96例终末期尿毒症患者，按照入院顺序抽签，随机分为观察组和对照组，对照组患者进行常规护理，观察组患者在此基础上，进行整体护理干预。观察患者焦虑自评量表（SAS）、抑郁自评量表（SDS）评分，治疗依从性和并发症发生情况。结果：两组患者护理干预后 SAS，SDS 评分均低于护理干预前（P <0.05）。观察组患者护理干预后SAS，SDS评分低于对照组（ P <0.05）。观察组治疗依从性高于对照组（ P <0.05）。观察组并发症发生率低于对照组（P <0.05）。结论：护理干预对维持性血液透析患者抑郁、焦虑情绪有明显的改善效果，还可以提高患者的治疗依从性。%Objective:To explore the influence on the depression,anxiety,cure compliance for the patients with mainte-nance haemodialysis(MHD)by nursing intervention. Methods:All 96 cases of patients with maintenance haemodialysis of end- stage urinemia were randomly divided into experiment group and control group,the control group were cared by routine nurs-ing,on the basis of the control group,the experiment group were treated by holistic nursing. The scores of self - rating anxiety scale(SAS),self - rating depression scale(SDS),treatment adherences,complication were compared. Results:The scores of SAS,SDS for the two group after nursing intervention were lower than before nursing intervention(P < 0. 05). The scores of SAS,SDS for the experiment group after nursing intervention were lower than the control group(P < 0. 05). The treatment ad-herences for the experiment group were higher than the control group(P < 0. 05). The complication for the experiment group were lower than the control group(P < 0. 05). Conclusion:It can improve the depression,anxiety,cure compliance for the pa-tients with maintenance haemodialysis by nursing intervention,it can increase the treatment adherences.