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1. 大连市甘井子区人民医院内科
2. 大连市甘井子区人民医院体检中心
纸质出版日期:2021,
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郭晓琴, 王萍, 张春丽. 心理干预对慢性肾脏病患者生活质量及情绪的影响[J]. 保健医学研究与实践, 2021,18(6):126-129.
Guo Xiaoqin, Wang ping, Zhang Chunli. Effect of psychological intervention on quality of life and emotions of patients with chronic kidney disease[J]. Health Medicine Research and Practice, 2021,18(6):126-129.
目的探讨心理干预对慢性肾脏病患者生活质量及情绪的影响。方法选取2018年1月—2020年8月辽宁省某医院收治的152例慢性肾脏病患者
采用随机数字表法分为实验组(n=77)和对照组(n=75)。对照组患者在药物对症治疗基础上采用常规护理干预
实验组患者在对照组基础上采用心理干预。比较2组患者治疗期间依从性及干预前和干预3周后生活质量、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、尿素氮(BUN)、肌酐(Cr)、肾小球滤过率(GFR)水平。结果干预后
2组患者肾脏疾病生存质量简表(KDQOL-SFTM)中的症状和问题、肾脏病影响力、肾脏病压力、工作状态、认知功能、社会质量、性功能、睡眠、社会支持维度评分高于干预前
且实验组高于对照组
差异均有统计学意义(P
<
0.05)。2组患者干预后SAS及SDS评分均低于干预前
且实验组低于对照组
差异均有统计学意义(P
<
0.05)。2组患者干预后BUN、Cr水平低于干预前且实验组低于对照组
GFR高于对照组且实验组高于对照组
差异均有统计学意义(P
<
0.05)。实验组患者治疗依从率为98.70%
高于对照组的89.33%
差异有统计学意义(χ
2
=4.422
P=0.035)。结论心理干预用于慢性肾脏病患者
能改善患者的生活质量、不良情绪和治疗依从性
有利于患者肾功能恢复。
Objective To explore the effect of psychological intervention on the quality of life and emotions of patients with chronic kidney disease. Methods A total of 152 patients with chronic kidney disease admitted to a hospital in Liaoning Province from January 2018 to August 2020 were selected and divided into experimental group(n=77) and control group(n=75) using random number table method. Patients in the control group received conventional nursing interventions on the basis of symptomatic drug therapy
and patients in the experimental group were given psychological intervention on the basis of the control group. The patients in the 2 groups were compared in terms of compliance during treatment and quality of life
SAS and SDS scores
blood urea nitrogen(BUN)
creatinine(Cr)
and glomerular filtration rate(GFR) levels before and after 3 weeks of intervention. Results After the intervention
KDQOL-SFTM symptoms and problems
nephropathy impact
nephropathy stress
work status
cognitive function
social quality
sexual function
sleep
social support scores were higher in the 2 groups than before the intervention
and the experimental group had higher scores than the control group
and the differences were statistically significant(P
<
0.05). After the intervention
the SAS and SDS scores were lower than those before the intervention
and the experimental group was lower than the control group. The differences were all statistically significant(P
<
0.05). the BUN and Cr levels were lower than those before the intervention and the experimental group was lower than the control group
and the GFR was higher than before the intervention and the experimental group was higher than the control group
and the differences were all statistically significant(P
<
0.05). The treatment compliance rate of patients in the experimental group was 98.70%
which was higher than that of the control group(89.33%)
and the difference was statistically significant(χ
2
=4.422
P=0.035). Conclusion Psychological interventions used in patients with chronic kidney disease can improve patients’ quality of life
mood and treatment compliance
and are beneficial to patients’ renal function recovery.
心理干预慢性肾脏病生活质量心理情况治疗依从性
psychological interventionChronic kidney diseaseQuality of lifePsychological conditionTreatment compliance
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