中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2910-2911
,共2页
吕程燕%周彩平%余海燕%陈广玉%冯素芝
呂程燕%週綵平%餘海燕%陳廣玉%馮素芝
려정연%주채평%여해연%진엄옥%풍소지
心理干预%血液透析%焦虑%抑郁
心理榦預%血液透析%焦慮%抑鬱
심리간예%혈액투석%초필%억욱
Psychological intervention%Hemodialysis%Anxiety%Depression
目的：探讨临床心理干预对血液透析患者焦虑、抑郁情绪的影响。方法将维持性血液透析的尿毒症患者50例按完全随机分组法分为心理干预组和对照组，每组各25例。对照组实施常规治疗及护理干预；心理干预组在对照组基础上实施有针对性的临床心理干预；采用焦虑自评量表（ SAS）和抑郁自评量表（SDS）评估患者的心理状态。结果干预前，心理干预组和对照组的SAS和SDS评分分别为（57．3±1．5）分与（56．9±1．6）分和（55．3±2．3）分与（56．1±3．5）分，差异均无统计学意义（t＝0．912、0.955，均P＞0．05）；干预后，心理干预组和对照组的SAS和SDA的评分差值分别为（16．4±0．9）分与（10．1±1．3）分和（14．3±2．1）分与（9．7±1．5）分（t＝19．922、8．912，均P＜0．05）。结论临床心理干预对血液透析患者焦虑、抑郁的心理状态有明显的改善作用，效果良好。
目的：探討臨床心理榦預對血液透析患者焦慮、抑鬱情緒的影響。方法將維持性血液透析的尿毒癥患者50例按完全隨機分組法分為心理榦預組和對照組，每組各25例。對照組實施常規治療及護理榦預；心理榦預組在對照組基礎上實施有針對性的臨床心理榦預；採用焦慮自評量錶（ SAS）和抑鬱自評量錶（SDS）評估患者的心理狀態。結果榦預前，心理榦預組和對照組的SAS和SDS評分分彆為（57．3±1．5）分與（56．9±1．6）分和（55．3±2．3）分與（56．1±3．5）分，差異均無統計學意義（t＝0．912、0.955，均P＞0．05）；榦預後，心理榦預組和對照組的SAS和SDA的評分差值分彆為（16．4±0．9）分與（10．1±1．3）分和（14．3±2．1）分與（9．7±1．5）分（t＝19．922、8．912，均P＜0．05）。結論臨床心理榦預對血液透析患者焦慮、抑鬱的心理狀態有明顯的改善作用，效果良好。
목적：탐토림상심리간예대혈액투석환자초필、억욱정서적영향。방법장유지성혈액투석적뇨독증환자50례안완전수궤분조법분위심리간예조화대조조，매조각25례。대조조실시상규치료급호리간예；심리간예조재대조조기출상실시유침대성적림상심리간예；채용초필자평량표（ SAS）화억욱자평량표（SDS）평고환자적심리상태。결과간예전，심리간예조화대조조적SAS화SDS평분분별위（57．3±1．5）분여（56．9±1．6）분화（55．3±2．3）분여（56．1±3．5）분，차이균무통계학의의（t＝0．912、0.955，균P＞0．05）；간예후，심리간예조화대조조적SAS화SDA적평분차치분별위（16．4±0．9）분여（10．1±1．3）분화（14．3±2．1）분여（9．7±1．5）분（t＝19．922、8．912，균P＜0．05）。결론림상심리간예대혈액투석환자초필、억욱적심리상태유명현적개선작용，효과량호。
Objective To explore the effects of clinical psychological intervention on anxiety and depression in hemodialysis patients .Methods Hemodialysis patients were randomly divided into two groups:psychological inter-vention group and control group ,25 patients in each group .In intervention group ,besides routine clinical treatment and nursing measures ,we analyzed the clinical information of the patients ,consulted the relevant documents ,combined the evidence and clinical experience ,and finally conducted the psychological intervention .Self-Rating Anxiety Scale and Self-Rating Depression Scale of these patients were analyzed .Results Before the intervention , the SAS and SDS scores of intervention group and control group were (57.3 ±1.5) versus (56.9 ±1.6) and (55.3 ±2.3) versus (56.1 ±3.5),respectively.The t values were 0.912(P>0.05) and 0.955(P>0.05),respectively.After interven-tion,the score before and after the trial between these two groups were significantly different (P<0.05).The SAS and SDS scores of intervention group and control group were (16.4 ±0.9) versus (10.1 ±1.3) and (14.3 ±2.1) ver-sus (9.7 ±1.5),respectively.Conclusion Clinical psychological intervention can effectively relieve anxiety and depression in hemodialysis patients .
