CAJ | 학술논문

目的探讨家庭关怀度对慢性肾功能衰竭患者发生抑郁的影响.方法选取我院收治的慢性肾功能衰竭患者120例,随机分为观察组和对照组,每组50例.对照组患者采用药物治疗和常规性护理,观察组在此基础上增加家庭关怀护理内容.干预10、30、60d后,对两组患者采用HAMD进行抑郁评分,同时采用自测健康评定量表(SRHMS)对患者的健康状况进行评估.结果干预后两组患者HAMD评分均较干预前降低(均P＜0.05);与对照组同期比较,观察组患者HAMD评分减少更为明显(P＜0.05).患者在自测健康中生理、心理、社会三个健康维度的自测分和总得分均明显高于对照组(均P＜0.01),患者不良症状发生率均明显低于对照组(均P＜0.05).结论家庭关怀度对慢性肾功能衰竭患者发生抑郁的影响积极的,能缓解患者的心理压力,减低患者抑郁情绪的产生,同时有利于患者症状的缓解.
목적 탐토가정관부도대만성신공능쇠갈환자발생억욱적영향.방법 선취아원수치적만성신공능쇠갈환자120례,수궤분위관찰조화대조조,매조50례.대조조환자채용약물치료화상규성호리,관찰조재차기출상증가가정관부호리내용.간예10、30、60d후,대량조환자채용HAMD진행억욱평분,동시채용자측건강평정량표(SRHMS)대환자적건강상황진행평고.결과 간예후량조환자HAMD평분균교간예전강저(균P＜0.05);여대조조동기비교,관찰조환자HAMD평분감소경위명현(P＜0.05).환자재자측건강중생리、심리、사회삼개건강유도적자측분화총득분균명현고우대조조(균P＜0.01),환자불량증상발생솔균명현저우대조조(균P＜0.05).결론 가정관부도대만성신공능쇠갈환자발생억욱적영향적겁적,능완해환자적심리압력,감저환자억욱정서적산생,동시유리우환자증상적완해.
Objective To explore the effect of family care degree on depression of patients with chronic renal dysfunction.Methods 120 patients with chronic renal dysfunction were selected and divided into observation and control groups with 50 cases in each group.Patients in control group were treated with drug treatment and routine care,in observation group added with family care.Mter treated with 10,30,60 days,HAMD was used to detect depression,SRHMS was used to detect health..Results HAMD score of two groups were decreased after treatment (P ＜ 0.05),HAMD score of observation group was lower than that of control group (P ＜ 0.05).Score of physical,psychological and social dimension and total score of observation group were all higher than those of control group (P ＜ 0.01).Rate of adverse reaction was higher than that of control group (P ＜ 0.05).Conclusions Family care could affect depression incidence of patients with chronic renal dysfunction actively,relieve mental pressure,reduce depression incidence and relieve symptoms.