急性肾盂肾炎患者实施心理护理的效果评估分析

李海琴

海南省儋州市农垦那大医院肾内科，海南儋州521700

[摘要]目的探讨心理护理在急性肾盂肾炎患者中的应用效果。方法整群选取2013年1月—2015年1月该院收治的急性肾盂肾炎患者96例，随机分为观察组与对照组，每组48例。两组均实施常规综合药物治疗，对照组实施常规护理，观察组在对照组的加强心理护理，对比两组的临床疗效与护理效果。结果观察组的治愈率及总有效率分别为70.83%、95.83%，高于对照组的60.42%、89.58%，但差异无统计学意义（P>0.05）；观察组的住院时间为（15.32±6.24）d，相比于对照组的（21.43± 8.32）d显著缩短（P<0.05）；护理后两组的SDS及SAS评分均显著降低，且观察组显著低于对照组（P<0.05）；观察组的护理满意度为93.75%，显著高于对照组的81.25%（P<0.05）。结论在急性肾盂肾炎的临床治疗护理中介入心理护理，能够促进患者的病情康复，改善患者的心理状态及临床预后，值得推广应用。

[关键词]急性肾盂肾炎；临床护理；心理护理

[中图分类号]R47

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0167-03

[作者简介]李海琴（1976.5－），女，海南定安人，本科，主管护师，研究方向：肾内科临床护理。

Abstract[]Objective To investigate the effects of psychological nursing on patients with acute pyelonephritis.Methods 96 patients with acute pyelonephritis admitted in our hospital from January 2013 to January 2015 were randomly divided into observation group and control group, 48 cases in each group.Both groups were treated by the conventional and comprehensive medication.The control group received usual care, the observation group received psychological care on the basis of usual care.And the clinical effect and nursing efficacy of the two groups were compared.Results The cure rate was higher in the observation group than that in the control group (70.83% vs 60.42%), but the difference was not statistically significant (P>0.05); the overall response rate was higher in the observation group than that in the control group (95.83% vs 89.58%), but the difference was not statistically significant (P>0.05).The length of stay was much shorter in the observation group than that in the control group [(15.32±6.24)d vs (21.43±8.32)d], (P<0.05).After nursing, the SDS and SAS scores decreased significantly in both groups compared with those before nursing, moreover, the SDS and SAS scores of the observation group were much lower than those of the control group(P<0.05).The observation group had obviously higher nursing satisfaction (93.75% vs 81.25%) (P<0.05).Conclusion Psychological care applied to the clinical treatment and nursing for acute pyelonephritis, can promote the rehabilitation and improve the mental state and clinical outcomes of the patients, so it is worthy of application and promotion.

收稿日期：（2015-07-06）

Effects of Psychological Care on Patients with Acute Pyelonephritis

LI Hai-qin

Nephrology Department, Hainan Nongken Nada Hospital, Danzhou, Hainan Province, 521700 China

[Key words]Acute pyelonephritis; Clinical care; Psychological care

急性肾盂肾炎是临床常见泌尿系统疾病之一，主要是由于肾实质局灶性感染而引起，患者常表现为腰背疼痛、发热、寒战，并伴有腹部绞痛、尿频、夜尿增多以及恶心呕吐等。该病可发生于任何年龄段，其中，以育龄期女性发病率较高[1]。该病起病急骤，病情发展迅速，如不及时采取有效治疗干预措施，可能引起菌血症、脓毒血症、弥漫性血管内凝血甚至中毒性休克等严重后果[2]。受病理生理等诸多因素的影响，患者常存在不同程度的心理波动，不仅影响治疗干预配合，还将影响其生理状态，不利于病情的康复。该研究整群选取2013年1月—2015年1月该院肾内科住院治疗的急性肾盂肾炎患者96例，对急性肾盂肾炎患者在临床治疗过程中配合严密心理护理，获得了较为满意的效果，现报道如下。