Nephrology Department, The Affiliated Hospital of Jiangnan University, 214000, China.
Hematology Department, The Affiliated Hospital of Jiangnan University, 214000, China.
Comput Math Methods Med. 2022 Jul 13;2022:8040656. doi: 10.1155/2022/8040656. eCollection 2022.
Patients in the hemodialysis stage are prone to psychological pressure of depression and anxiety and have resistance, which affects the clinical treatment effect. Effective psychological intervention plays a very important role in improving patients' psychological pressure and patients' compliance. The aim of this study is to explore the nursing effect of psychological intervention on uremic hemodialysis patients.
There were 126 uremic hemodialysis patients admitted to the hospital from August 2020 to December 2021. The patients were randomly divided into the routine nursing care group ( = 63) and psychological intervention group ( = 63). The routine nursing care group received routine nursing care for uremia hemodialysis patients. The psychological intervention group implemented psychological intervention on uremia hemodialysis patients. The methods of psychological intervention mainly include establishing a good nurse-patient relationship, popularizing hemodialysis knowledge, timely psychological counseling for patients, and organizing patient communication meetings. The treatment compliance, Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) of the two groups were compared before and after nursing. SF-36 scale was used to evaluate the quality of life of patients. The incidence of complications and nursing satisfaction were compared between the two groups.
The treatment compliance rate and nursing satisfaction of hemodialysis uremic patients in the psychological intervention group were significantly higher than the routine nursing care group. The SAS and SDS of hemodialysis uremia patients in the psychological intervention group were significantly lower than the routine nursing care group after psychological intervention, and SF-36 scale was significantly higher than the routine nursing group. The main complications of uremic hemodialysis patients are hypotension, hyperkalemia, internal fistula occlusion, and infection. Compared with the routine nursing care group, the incidence of complications in the psychological intervention group was significantly reduced.
The implementation of psychological nursing intervention for uremic hemodialysis patients have a very significant effect on reducing the incidence of complications and improving anxiety, depression, treatment compliance, and the quality of life and the nursing satisfaction.
血液透析阶段的患者容易出现抑郁和焦虑的心理压力，且存在抵触情绪，影响临床治疗效果。有效的心理干预对改善患者心理压力和患者依从性起着非常重要的作用。本研究旨在探讨心理干预对尿毒症血液透析患者的护理效果。
选取 2020 年 8 月至 2021 年 12 月期间我院收治的 126 例尿毒症血液透析患者，随机分为常规护理组（n=63）和心理干预组（n=63）。常规护理组对尿毒症血液透析患者进行常规护理，心理干预组对尿毒症血液透析患者实施心理干预。心理干预的方法主要包括建立良好的护患关系、普及血液透析知识、及时对患者进行心理疏导、组织患者交流会。比较两组患者护理前后的治疗依从性、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分、SF-36 量表评分。比较两组患者并发症发生率和护理满意度。
心理干预组尿毒症血液透析患者的治疗依从率和护理满意度均明显高于常规护理组，心理干预后尿毒症血液透析患者的 SAS 和 SDS 评分均明显低于常规护理组，SF-36 量表评分明显高于常规护理组。尿毒症血液透析患者的主要并发症有低血压、高钾血症、内瘘闭塞、感染。与常规护理组相比，心理干预组并发症发生率明显降低。
对尿毒症血液透析患者实施心理护理干预，对降低并发症发生率、改善焦虑、抑郁、治疗依从性、提高生活质量和护理满意度具有非常显著的效果。
