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目的:探讨护理干预对维持性血液透析患者抑郁、焦虑情绪及治疗依从性的影响。方法:选取2012年9月—2015年10月接受维持性血液透析(MHD)治疗的96例终末期尿毒症患者,按照入院顺序抽签,随机分为观察组和对照组,对照组患者进行常规护理,观察组患者在此基础上,进行整体护理干预。观察患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,治疗依从性和并发症发生情况。结果:两组患者护理干预后SAS,SDS评分均低于护理干预前(P<0.05)。观察组患者护理干预后SAS,SDS评分低于对照组(P<0.05)。观察组治疗依从性高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论:护理干预对维持性血液透析患者抑郁、焦虑情绪有明显的改善效果,还可以提高患者的治疗依从性。
Objective: To investigate the effect of nursing intervention on depression, anxiety and treatment compliance in maintenance hemodialysis patients. Methods: Ninety-six patients with end-stage uremia undergoing maintenance hemodialysis (MHD) from September 2012 to October 2015 were selected according to admission order and randomly divided into observation group and control group. Patients in control group received routine nursing On the basis of this, patients in observation group conducted overall nursing intervention. Patients’ self-rating anxiety scale (SAS), self-rating depression scale (SDS), treatment compliance and complication were observed. Results: The scores of SAS and SDS after nursing intervention in both groups were lower than those before nursing intervention (P <0.05). The scores of SAS and SDS in the observation group after nursing intervention were lower than those in the control group (P <0.05). The compliance of the observation group was higher than that of the control group (P <0.05). The complication rate in observation group was lower than that in control group (P <0.05). Conclusion: Nursing intervention can obviously improve the depression and anxiety of maintenance hemodialysis patients, and can also improve the treatment compliance of patients.