赵玉丹?高偲偲?陈爽?于晶

[摘要] 目的 探讨心理护理干预对慢性肾功能衰竭患者焦虑抑郁情绪的影响。 方法 选择2016年1～12月在我院治疗的60例慢性肾功能衰竭患者为研究对象。随机分为干预组与对照组各30例。干预组给予心理护理干预，对照组给予常规护理。比较两组干预前后SDS以及SAS评分。 结果 两组干预后SAS评分均较干预前低，干预前后比较差异显著（P<0.05）；干预组干预后SAS评分较对照组低，两组差异显著（P<0.05）。干预后两组SDS评分均较干预前低，干预前后比较差异显著（P<0.05）；干预组干预后SDS评分较对照组低，两组比较差异显著（P<0.05）。 结论 慢性肾功能衰竭患者实施心理护理干预能缓解焦虑抑郁情绪，值得临床推广。

[关键词] 心理护理干预；慢性肾功能衰竭；焦虑；抑郁

[中图分类号] R473.74 [文献标识码] A [文章编号] 2095-0616（2017）16-172-04

Effect of psychological nursing intervention on anxiety and depression in patients with chronic renal failure

ZHAO Yudan1 GAO Sisi2 CHEN Shuang3 YU Jing1

1. Department of Nephrology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 2. Department of Endocrinology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3.Hemodialysis Center， Mudanjiang Medical University Hongqi Hospital， Mudanjiang 157000， China

[Abstract] Objective To discuss the effect of psychological nursing intervention on anxiety and depression in patients with chronic renal failure. Methods 60 cases with chronic renal failure from Jan to Dec 2016 were selected as objects. All cases were randomly divided into the intervention group and the control group， each of 30 cases. The intervention group received psychological nursing intervention， and the control group received routine nursing. SDS and SAS before and after intervention of two groups were compared. Results After intervention， SAS sores of two groups were lower than those before intervention， and the difference showed significant difference（P<0.05）； After intervention， SAS score of the intervention group was lower than that of the control group， and the difference showed significant difference（P<0.05）. After intervention， SDS sores of two groups were lower than those before intervention， and the difference showed significant difference（P<0.05）； After intervention， SDS score of the intervention group was lower than that of the control group， and the difference showed significant difference（P<0.05）. Conclusion Psychological nursing intervention for patients with chronic renal failure can release the anxiety and depression，worthy of clinical promotion.

[Key words] Psychological nursing intervention； Chronic renal failure； Anxiety； Depression

腎功能衰竭是肾脏功能部分或全部丧失的病理状态，慢性肾功能衰竭是由各种病因所导致的慢性肾病发展至晚期而出现的一组临床症状组成的综合征[1-2]。慢性肾脏病患病人数多，严重危害患者的健康，防止形式严峻，医疗费用高。患者普遍存在焦虑抑郁等不良情绪，影响治疗效果[3-4]。目前临床上对患者心理情绪的关注度越来越强，良好的心理情绪有利于疾病的恢复，有利于改善患者的endprint

治疗依从性。心理护理干预是一種以心理学理论以及原理为指导的护理干预方法，是有计划地对护理对象的心理活动、行为问题等施加影响，从而达到预期目标的过程。临床上对患者的心理护理干预目标包括减轻患者心理障碍痛苦，预防发生心理障碍，提高患者适应能力，对患者进行心理支持，维持心理健康。我们对慢性肾功能衰竭患者实施护理干预，分析心理护理干预对患者焦虑抑郁情绪的影响。现将结果报道如下。……