摘要
目的探讨以人格分析为基础的护理干预法在尿毒症血液透析患者中的作用。方法选取2015年10月—2018年9月笔者所在医院收治的300例尿毒症血液透析患者按随机数字表法分成观察组和对照组,每组各150例。对照组实行常规护理,观察组在常规护理的同时实行以人格分析为基础的护理干预法。对比两组患者护理前、后的心理状况及透析效果、并发症发生率。结果两组护理前焦虑及抑郁得分无明显差异(P>0.05);观察组护理后焦虑、抑郁得分均明显低于对照组(P<0.05);两组护理前血清肌酐(Scr)、尿素氮(BUN)、β2-微球蛋白(β2-MG)、甲状旁腺素(iPTH)水平均无明显差别(P>0.05);观察组护理后Scr、BUN、β2-MG、iPTH均明显低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论以人格分析为基础的护理干预法能有效地改善尿毒症血液透析患者的心理状况,并提高透析效果和降低并发症发生率。
Objective To investigate the efficacy of nursing intervention based on personality analysis on patients with uremia undergoing hemodialysis.Methods The 300 patients admitted in anthor's hospital from October 2015 to September 2018 were randomly divided into observation group and control group,with 150 cases in each group;the latter was given routine care,and the former was subject to nursing intervention based on personality analysis at the same time to routine care.The psychological status,dialysis effect and complication rate of the two groups were compared before and after treatment.Results There was no significant difference in the scores of anxiety and depression between the two groups(P>0.05).The scores of anxiety and depression in the former were significantly lower than those in the latter(P<0.05).In pre-nursing serum creatinine(Scr),BUN nitrogen between the two groups,β2-microglobulin(β2-MG)and parathyroid hormone(iPTH)there were all no significant difference(P>0.05).Post-nursing Scr,BUN,β2-MG and iPTH in the former were significantly lower than those in the latter(P<0.05);the incidence of complications in the former was lower than that in the latter(P<0.05).Conclusion Personality analysis-based nursing intervention can effectively improve the psychological status of the uremic patients undergoing hemodialysis,with better dialysis effect and less incidence of complications.
作者
宋娜
SUN Na(Hemodialysis Room,Tai'an Branch of No. 960 Hospital of PLA,Tai'an,Shandong 271000,China)
出处
《实用医药杂志》
2019年第7期651-654,共4页
Practical Journal of Medicine & Pharmacy
关键词
人格分析
护理干预
尿毒症
血液透析
Personality analysis
Nursing intervention
Uremia
Hemodialysis
