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不同阶段针对性心理护理对血液透析患者的效果

The Effect of Different Stages of Targeted Psychological Care on Hemodialysis Patients
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摘要 目的:探讨血液透析患者给予不同阶段针对性心理护理的临床效果。方法:选取2018年4月-2019年12月北京市丰台区铁营医院血液透析室收治的血液透析患者60例为观察对象,根据随机数字表法分为对照组与观察组,各30例。对照组给予常规护理干预,观察组在对照组基础上另给予不同阶段针对性心理护理干预。比较两组患者心理状况、社会功能及压力水平。结果:护理后,两组患者凯斯勒心理困扰量表评分均降低,观察组评分低于对照组,差异有统计学意义(P<0.001);护理后,两组患者社交回避、社交苦恼评分均降低,观察组低于对照组,差异有统计学意义(P<0.001);护理后,两组患者生理、心理、社会压力水平均降低,观察组低于对照组,差异有统计学意义(P<0.001)。结论:对血液透析患者给予不同阶段的针对性心理护理,可减轻患者负性心理状态,缓解生理、心理及社会压力程度,改善社交回避及苦恼状态。 Objective:To explore the clinical effect of giving targeted psychological care to hemodialysis patients at different stages.Methods:Sixty cases of hemodialysis patients admitted to the hemodialysis room of Fengtai District Tieying Hospital of Beijing from April 2018 to December 2019 were selected as observation subjects,and were divided into a control group and an observation group according to the random number table method,with 30 cases each.The control group was given conventional nursing interventions,while the observation group was given different stages of targeted psychological nursing interventions on the basis of the control group.The psychological status,social functioning and stress levels of the patients in the two groups were compared.Results:After care,the Kessler Psychological Distress Scale scores decreased in both groups,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.001).After care,the scores of social avoidance and social distress decreased in both groups,with the observation group having lower scores than the control group.The difference was statistically significant(P<0.001).After care,the level of physical,psychological and social stress decreased in both groups,with the observation group lower than the control group,and the difference was statistically significant(P<0.001).Conclusion:Targeted psychological care for hemodialysis patients at different stages can reduce the negative psychological state of patients,alleviate the level of physical,psychological and social stress,and improve social avoidance and distress.
作者 杨娜 Yang Na(Hemodialysis Room,Fengtai District Tieying Hospital,Beijing 100079,China)
出处 《中外医药研究》 2022年第8期120-122,共3页 JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词 血液透析 针对性心理护理 负性心理 Hemodialysis Targeted psychological care Negative psychology
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