中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
6期
680-682,683
,共4页
肾功能衰竭,慢性%焦虑%抑郁%连续照顾性家庭访视
腎功能衰竭,慢性%焦慮%抑鬱%連續照顧性傢庭訪視
신공능쇠갈,만성%초필%억욱%련속조고성가정방시
Chronic renal failure%Anxiety%Depression%Continuous care family visiting
目的：探讨连续照顾性家庭访视对慢性肾衰竭非透析患者疾病不确定感及心理状况的影响。方法选取2011年7月—2013年6月非透析慢性肾衰竭患者120例作为研究对象，按照随机对照原则分为观察组和对照组各60例。对照组进行常规家属督导，观察组在此基础上给予连续照顾性家庭访视。评估两组患者干预前后疾病不确定感、焦虑和抑郁情况。结果干预前，两组患者疾病不确定感得分比较，差异无统计学意义（P＞0．05），干预后，观察组患者不明确性、复杂性、不可预知性、与疾病相关的信息缺乏或不一致性维度得分分别为（35．3±5．1），（8．7±3．0），（8．8±3．5），（12．5±2．8）分，优于对照组，差异有统计学意义（t值分别为11．70，11．10，10．70，8．21；P＜0．05）。干预前，两组患者焦虑、抑郁得分比较，差异无统计学意义（P＞0．05）；干预后，观察组患者焦虑、抑郁得分分别为（42．1±5．8），（41．3±5．6）分，低于对照组，差异有统计学意义（t值分别为3．440，5．740；P＜0．05）。结论连续照顾性家庭访视可以改善非透析慢性肾衰患者疾病不确定感和心理状况，增强其对治疗的积极性和依从性，提高生活质量。
目的：探討連續照顧性傢庭訪視對慢性腎衰竭非透析患者疾病不確定感及心理狀況的影響。方法選取2011年7月—2013年6月非透析慢性腎衰竭患者120例作為研究對象，按照隨機對照原則分為觀察組和對照組各60例。對照組進行常規傢屬督導，觀察組在此基礎上給予連續照顧性傢庭訪視。評估兩組患者榦預前後疾病不確定感、焦慮和抑鬱情況。結果榦預前，兩組患者疾病不確定感得分比較，差異無統計學意義（P＞0．05），榦預後，觀察組患者不明確性、複雜性、不可預知性、與疾病相關的信息缺乏或不一緻性維度得分分彆為（35．3±5．1），（8．7±3．0），（8．8±3．5），（12．5±2．8）分，優于對照組，差異有統計學意義（t值分彆為11．70，11．10，10．70，8．21；P＜0．05）。榦預前，兩組患者焦慮、抑鬱得分比較，差異無統計學意義（P＞0．05）；榦預後，觀察組患者焦慮、抑鬱得分分彆為（42．1±5．8），（41．3±5．6）分，低于對照組，差異有統計學意義（t值分彆為3．440，5．740；P＜0．05）。結論連續照顧性傢庭訪視可以改善非透析慢性腎衰患者疾病不確定感和心理狀況，增彊其對治療的積極性和依從性，提高生活質量。
목적：탐토련속조고성가정방시대만성신쇠갈비투석환자질병불학정감급심리상황적영향。방법선취2011년7월—2013년6월비투석만성신쇠갈환자120례작위연구대상，안조수궤대조원칙분위관찰조화대조조각60례。대조조진행상규가속독도，관찰조재차기출상급여련속조고성가정방시。평고량조환자간예전후질병불학정감、초필화억욱정황。결과간예전，량조환자질병불학정감득분비교，차이무통계학의의（P＞0．05），간예후，관찰조환자불명학성、복잡성、불가예지성、여질병상관적신식결핍혹불일치성유도득분분별위（35．3±5．1），（8．7±3．0），（8．8±3．5），（12．5±2．8）분，우우대조조，차이유통계학의의（t치분별위11．70，11．10，10．70，8．21；P＜0．05）。간예전，량조환자초필、억욱득분비교，차이무통계학의의（P＞0．05）；간예후，관찰조환자초필、억욱득분분별위（42．1±5．8），（41．3±5．6）분，저우대조조，차이유통계학의의（t치분별위3．440，5．740；P＜0．05）。결론련속조고성가정방시가이개선비투석만성신쇠환자질병불학정감화심리상황，증강기대치료적적겁성화의종성，제고생활질량。
Objective To explore the effect of continuous care family visiting on disease uncertainty and psychological conditions in non-dialysis chronic renal failure patients .Methods Totals of 120 non-dialysis chronic renal failure patients admitted to our department from July 2011 to June 2013 were selected.In accordance with the principle of randomized controlling , patients were divided into observation group and control group, with 60 cases in each.The control group received conventional family supervision , while the observation group underwent continuous care family visiting in addition to traditional family supervision . The illness uncertainty and psychological conditions of two groups were assessed and compared before and after the intervention .Results Before the intervention , disease uncertainty and psychological conditions of the two groups were not significantly different (P>0.05).After the intervention, the scores of sense of uncertainty, complexity, unpredictability, lack of disease-related information or inconformity were (35.3 ±5.1), (8.7 ± 3.0), (8.8 ±3.5) and (12.5 ±2.8), which were significantly better than those in the control group (t=11.70,11.10,10.70,8.21,respectively;P <0.05).Before the intervention, the scores of anxiety and depression of the two groups were not significantly different (P>0.05).After the intervention, the scores of anxiety and depression were (42.1 ±5.8) and (41.3 ±5.6) in the observation group, which were significantly lower than those in the control group (t=3.440, 5.740, respectively;P<0.05).Conclusions Continuous care family visiting cannot only significantly alleviate the uncertainty of illness in non -dialysis chronic renal failure patients, but also improve their mental condition and quality of life , and enhance their motivation and adherence to treatment .
