Zhao Qianyun, Zhang Sen, Yu Ran
Blood Purification Center, The Second Hospital of Anhui Medical University, Hefei, China.
Department of Nephrology, The Second Hospital of Anhui Medical University, Hefei, China.
Front Psychiatry. 2021 Feb 9;12:594670. doi: 10.3389/fpsyt.2021.594670. eCollection 2021.
Patients who are on hemodialysis (HD) and are waiting for kidney transplantation encounter various psychological issues. The current research aimed to compare the effectiveness of regular nursing care with that of nursing care coupled with dedicated psychological counseling in patients who were on HD before they underwent kidney transplantation. Baseline data were collected 1 month before kidney transplantation in patients of both the control (patients who received general nursing care between August 2011 and June 2015) and intervention (patients who received nursing care and psychological counseling between June 2015 and July 2018) groups. The Mental Status Scale in Non-Psychiatric Settings (MSSNS) was administered to assess and record the psychological status. Clinicodemographic and end-stage renal disease (ESRD)-related details, including duration of dialysis, causes for ESRD, the number of dialysis sessions performed before transplantation, and MSSNS scores, were recorded and compared between the groups. A total of 37 patients were enrolled, including 19 in the control group and 18 in the intervention group. The number of dialysis sessions performed before transplantation was 143 (26, 564) and 227.5 (39, 767), and dialysis duration was 20.4 ± 14.5 and 14.4 ± 12.1 months in the intervention and control groups, respectively. There was no significant difference in baseline negative emotions between the two groups ( > 0.05). The psychological intervention group reported significantly lower anxiety, depression, anger, and loneliness scores than the control group ( < 0.05). Psychological counseling before kidney transplantation in patients on HD could reduce their negative emotions and enhance mental well-being.
正在接受血液透析（HD）并等待肾脏移植的患者会遇到各种心理问题。当前的研究旨在比较常规护理与在接受肾脏移植前接受HD治疗的患者中结合专门心理咨询的护理的效果。在肾脏移植前1个月收集了对照组（2011年8月至2015年6月期间接受一般护理的患者）和干预组（2015年6月至2018年7月期间接受护理和心理咨询的患者）患者的基线数据。使用非精神科环境中的精神状态量表（MSSNS）来评估和记录心理状态。记录并比较了两组之间的临床人口统计学和终末期肾病（ESRD）相关细节，包括透析持续时间、ESRD病因、移植前进行的透析次数以及MSSNS评分。总共招募了37名患者，其中对照组19名，干预组18名。干预组和对照组移植前进行的透析次数分别为143次（26，564）和227.5次（39，767），透析持续时间分别为20.4±14.5个月和14.4±12.1个月。两组之间的基线负面情绪没有显著差异（>0.05）。心理干预组报告的焦虑、抑郁、愤怒和孤独感得分显著低于对照组（<0.05）。对接受HD治疗的患者在肾脏移植前进行心理咨询可以减少他们的负面情绪并提高心理健康水平。
