西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2015年
1期
120-122
,共3页
心理行为干预%血液透析%内瘘穿刺%疼痛
心理行為榦預%血液透析%內瘺穿刺%疼痛
심리행위간예%혈액투석%내루천자%동통
psychological intervention%hemodialysis%internal fistula puncture%pain
目的：探讨心理行为干预对血透患者内瘘穿刺疼痛的影响。方法：将长期维持血液透析与动静脉内瘘成形术患者120例按照随机数字表法分为治疗组与对照组各60例，对照组患者予常规护理，治疗组患者在此基础上给予积极的心理行为干预，2组干预周期为2个月。结果：2组患者干预前焦虑抑郁与疼痛、疲劳和食欲下降症状评分比较差异无统计学意义（P＞0.05)，干预后评分明显下降，同时组间干预后评分比较差异有统计学意义(P＜0.05)。干预后治疗组患者生理机能、生理职能、躯体疼痛与总体健康评分明显高于对照组，差异有统计学意义(P＜0.05)。结论：心理行为干预应用于血透内瘘患者能有效缓解焦虑抑郁情况，减轻穿刺疼痛，有利于提高生存质量。
目的：探討心理行為榦預對血透患者內瘺穿刺疼痛的影響。方法：將長期維持血液透析與動靜脈內瘺成形術患者120例按照隨機數字錶法分為治療組與對照組各60例，對照組患者予常規護理，治療組患者在此基礎上給予積極的心理行為榦預，2組榦預週期為2箇月。結果：2組患者榦預前焦慮抑鬱與疼痛、疲勞和食欲下降癥狀評分比較差異無統計學意義（P＞0.05)，榦預後評分明顯下降，同時組間榦預後評分比較差異有統計學意義(P＜0.05)。榦預後治療組患者生理機能、生理職能、軀體疼痛與總體健康評分明顯高于對照組，差異有統計學意義(P＜0.05)。結論：心理行為榦預應用于血透內瘺患者能有效緩解焦慮抑鬱情況，減輕穿刺疼痛，有利于提高生存質量。
목적：탐토심리행위간예대혈투환자내루천자동통적영향。방법：장장기유지혈액투석여동정맥내루성형술환자120례안조수궤수자표법분위치료조여대조조각60례，대조조환자여상규호리，치료조환자재차기출상급여적겁적심리행위간예，2조간예주기위2개월。결과：2조환자간예전초필억욱여동통、피로화식욕하강증상평분비교차이무통계학의의（P＞0.05)，간예후평분명현하강，동시조간간예후평분비교차이유통계학의의(P＜0.05)。간예후치료조환자생리궤능、생리직능、구체동통여총체건강평분명현고우대조조，차이유통계학의의(P＜0.05)。결론：심리행위간예응용우혈투내루환자능유효완해초필억욱정황，감경천자동통，유리우제고생존질량。
Objective: To investigate the effect of psychological intervention for reliving hemodialysis patients' pain because of internal fistula puncture. Methods: All 120 cases suffering from long-term hemodialysis and internal arteriovenous fistula plasty were divided into the control group and the treatment group with 60 cases in each group by sampling random numbers. The patients in the control group were given the conventional nursing while in the treatment group the patients were added the positive psychological intervention besides the traditional methods. The treatment periods for both groups were two months. Results: Before the intervention the scores of symptoms like de-pression and anxiety, pain, fatigue and loss of appetite compared presented no significance difference between the two groups (P>0.05) and were decreased significantly after the intervention and the comparisons of each group it-self had statistical meaning (P<0.05). After the intervention, the scores of physiological conditions, body pain and overall health of the patients were significantly higher in the treatment group, compared to the control group; the dif-ference in the two groups showed statistical meaning (P<0.05). Conclusion: Psychological interventions used in hemodialysis fistula patients can effectively alleviate the situation of anxiety and depression, reduce the needling pain to contribute to the improvement of patients' life quality.
