摘要
目的:探究血液透析配合个性化心理干预对尿毒症患者焦虑和抑郁状态、应对方式及生活质量的影响。方法:将2015年1月-2018年1月于我院行血液透析治疗的280例尿毒症患者随机分为观察组(n=140)和对照组(n=140),对照组采用常规干预,观察组联合个性化心理干预,比较两组干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、医学应对问卷(MCMQ)及SF-36生活质量量表评分。结果:干预后观察组SAS、SDS评分显著低于对照组,差异有统计学意义(t=-4.124,-4.592;P<0.05);干预后观察组MCMQ面对评分显著高于对照组,回避、屈服评分显著低于对照组,差异有统计学意义(t=5.889,-5.300,-7.246;P<0.05);干预后观察组SF-36评分显著高于对照组,差异有统计学意义(t=7.381,6.806,4.675,7.083,7.208,6.498;P<0.05)。结论:血液透析配合个性化心理干预可以显著改善尿毒症患者焦虑和抑郁状态,以积极正面心态面对疾病,提高预后生活质量。
Objective:To explore the effects of hemodialysis combined with individualized psychological intervention on anxiety and depression status,coping styles and quality of life in uremia patients.Methods:A total of 280 cases of uremic patients treated with hemodialysis in our hospital from January 2015 to January 2018 were randomly divided into observation group(n=140)and control group(n=140).Control group was given routine nursing intervention,and observation group was combined with individualized psychological intervention.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),medical coping modes questionnaire(MCMQ)and SF-36 quality of life scale were compared between the two groups before and after intervention.Results:After intervention,the scores of SAS and SDS in observation group were significantly lower than those in control group(t=-4.124,-4.592;P<0.05).After intervention,the facing score of MCMQ in observation group was significantly higher than that in control group while the scores of avoiding and yielding were significantly lower than those in control group(t=5.889,-5.300,-7.246;P<0.05).After intervention,the SF-36 score in observation group was significantly higher than that in control group(t=7.381,6.806,4.675,7.083,7.208,6.498;P<0.05).Conclusion:Hemodialysis combined with individualized psychological intervention for uremia patients can significantly improve anxiety and depression status,help patients face disease with a positive attitude,and improve the quality of life of prognosis.
作者
王莉
金明
黄俊波
刘杰
王雄英
WANG Li;JIN Ming;HUANG Junbo(Xiantao First People's Hospital,Hubei Xiantao 43300,China)
出处
《中国健康心理学杂志》
2020年第2期191-194,共4页
China Journal of Health Psychology
基金
湖北省自然科学基金(编号:2017CFB986)
关键词
血液透析
个性化心理干预
尿毒症
焦虑抑郁状态
应对方式
生活质量
Hemodialysis
Individualized psychological intervention
Uremia
Anxiety and depression status
Coping styles
Quality of life
