摘要
目的调查慢性肾炎患者抑郁症状发生率并探讨护理干预对抑郁症状及肾功能的影响。方法采用Zung抑郁自评量表(SDS)对106例慢性肾炎患者进行测评。将抑郁指数≥0.5的56例患者随机分为干预组28例,对照组28例。干预组住院期间在药物治疗的同时进行护理干预及社会干预,分别于出入院时进行SDS、Cr、BUN及尿蛋白检测,对病情的恢复时间进行评估。结果慢性肾炎并抑郁情绪检出率为52.83%,SDS总分均值54.98±10.50,与国内常模比较,差异有统计学意义(P<0.01),经护理干预及社会干预后,干预组抑郁指数显著降低(P<0.01),病情恢复时间(Cr、BUN及尿蛋白复常时间)显著缩短(P<0.05)。结论慢性肾炎患者常合并忧郁症状,健康教育与心理干预可改善抑郁症状及机体的免疫功能,提高患者的康复能力。
Objective ： To find out the incidence rate of depression in patients with chronic glomerulonephritis and investigate the effect of nursing inteevention on depression and the function of kidney. Methods： 106 patients with chronic glomerulonephritis were assessed with SDS. Patients with depressive index over 0.5 were randomly divided into the intervention group （28） and the control group （28）. After nursing intervention, all 56 patients were assessed with SDS. The function of kidney and recovery time were examined again. Results ： The incidence rate of depression in patients with chronic glomerulonephritis was 52.83%. Nursing intervention reduced the severity of depression and improved the function of kidney, while control group made no significant progress. Conclusion： Depression is common among patients with chronic glomerulonephritis and psychosocial intervention can help patient cope with depression and benefit them psychologicaliy and physically.
出处
《泰山医学院学报》
CAS
2007年第4期293-295,共3页
Journal of Taishan Medical College
关键词
慢性肾炎
抑郁
护理干预
chronic glomerulonephritis
depression
nursing intervention
