摘要
目的 了解尿毒症患者焦虑抑郁情绪状况,探讨叙事护理对尿毒症患者焦虑抑郁情绪的影响。方法 选取2019年1—6月某三甲医院肾内科收治的104例尿毒症患者为研究对象,按照入院时间将其分为对照组和观察组,即2019年1—3月收治的尿毒症患者归为对照组,4—6月收治的尿毒症患者归为观察组,每组各52例。对照组采用常规护理,观察组在常规护理基础上采用叙事护理。采用抑郁自评量表(SDS)以及焦虑自评量表(SAS)评估患者情绪,比较入院时和干预半个月、1个月、3个月后尿毒症患者焦虑、抑郁情况以及干预3个月后的患者护理满意率。结果 两组患者入院时SDS及SAS评分比较,差异无统计学意义(P>0.05)。随着干预时间的延长,两组患者SDS及SAS评分逐渐降低;干预半个月、1个月、3个月后,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组护理满意率为98.08%,高于对照组的82.69%,差异有统计学意义(P<0.05)。结论 叙事护理在尿毒症患者中的应用,可以有效降低患者焦虑抑郁水平,提升患者护理满意率,值得在临床上推广应用。
Objective To understand the anxiety and depression mood of patients with uremia, and to explore the influence of narrative nursing on the anxiety and depression of uremia patients. Methods From January to June 2019, 104 uremic patients treated in the Department of Nephrology of a third class hospital were selected as the research objects. According to the time of admission, they were divided into control group and observation group. Patients with uremia admitted from January to March 2019 were classified as the control group, and patients with uremia admitted from April to June were classified as the observation group, with 52 cases in each group. The control group used routine nursing, and the observation group used narrative nursing on the basis of routine nursing. The self-rating depression scale(SDS) and the self-rating anxiety scale(SAS) were used to evaluate the mood of patients. The anxiety and depression of uremic patients at admission and after intervention half a month, one month and three months, and the nursing satisfaction rate of patients after intervention three months were compared. Results There were no significant differences in SDS and SAS scores between the two groups at admission(P>0.05). With the extension of intervention time, the scores of SDS and SAS in the two groups decreased gradually;after half a month, one month and three months of intervention, the scores of SDS and SAS in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The nursing satisfaction rate in the observation group was 98.08%, which was higher than 82.69% in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of narrative nursing in uremic patients could effectively reduce the level of anxiety and depression and improve the nursing satisfaction rate of patients. It was worthy of clinical promotion and application.
作者
赵艳芳
ZHAO Yan-fang(Department of Emergency,Tianjin Dongli District Junliangcheng Hospital,Tianjin 300301,China)
出处
《中国城乡企业卫生》
2022年第4期15-18,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
叙事护理
尿毒症
焦虑
抑郁
Narrative nursing
Uremia
Anxiety
Depression
