CAJ | 학술논문

目的：：观察个体化心理疏导对首次血液透析患者心理状态的影响。方法：对138例首次血液透析患者进行个体化心理疏导。应用由德若伽提斯 SCL-90自评量表,了解患者首次透析前、透析3个月后的心理状况,每个项目均采用5级评分制进行评估,并与国内常模组进行比较。结果：患者在透析后3个月的时间段与首次透析前心理状态比较有显著统计学差异(P<0.05),3个月后与国内常模比无统计学差异(P>0.05)。结论：对首次血液透析患者进行个体化心理疏导,有助于提高患者的自护能力、治疗依从性、心理舒适度及治疗效果。
목적：：관찰개체화심리소도대수차혈액투석환자심리상태적영향。방법：대138례수차혈액투석환자진행개체화심리소도。응용유덕약가제사 SCL-90자평량표,료해환자수차투석전、투석3개월후적심리상황,매개항목균채용5급평분제진행평고,병여국내상모조진행비교。결과：환자재투석후3개월적시간단여수차투석전심리상태비교유현저통계학차이(P<0.05),3개월후여국내상모비무통계학차이(P>0.05)。결론：대수차혈액투석환자진행개체화심리소도,유조우제고환자적자호능력、치료의종성、심리서괄도급치료효과。
Objective: To observe effects of individualized psychological counseling on psychological states of patients with first-time hemodialysis. Methods: 138 patients undergoing the first-time hemodialysis were given the individualized psychological counse-ling The psychological stateswere evaluated by L. R. DerogatisSCL-90 before and 3 months after dialysis. Each item was assessed by a 5-grade system and compared with that of the domestic norm group. Results: There was a significantly statistical difference in the psy-chological state of these patients before and 3 months after dialysis (P<0. 05); however, there was no statistical difference in the psy-chological state between these patients and the domestic norm group (P>0. 05) 3 months after dialysis. Conclusions: The individual-ized psychological counseling for the patients with the first-time hemodialysis is helpful to improve the patient's self-care ability, treat-ment compliance, psychological comfort, and therapeutic effects.