熊萍

[摘要] 目的 研究心理干预对老年糖尿病肾病患者负性心理因素的影响。 方法 选取我院2015年5月～2017年5月接收的70例老年糖尿病肾病患者，按照随机数表法分为两组，其中对照组35例，对其进行常规的护理干预，观察组35例，在常规护理的基础上对其进行心理护理干预，对比分析两种护理干预方式对老年糖尿病肾病患者负性心理因素的影响。 结果 治疗后，观察组患者在负性心理改善方面优于对照组，差异有统计学意义（P<0.05）。治疗后，观察组患者护理满意度为97.1%，对照组患者护理满意度为71.4%，差异有统计学意义（P<0.05）。 结论 在对老年糖尿病肾病患者进行护理干预时，实施心理护理干预能够显著改善患者的负性心理，促进患者对医院护理满意度、临床治疗效果的提高，值得在临床推广应用。

[关键词] 心理干预；老年糖尿病肾病；负性心理因素；影响

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2018）30-0162-03

[Abstract] Objective To study the effect of psychological intervention on negative psychological factors in elderly patients with diabetic nephropathy. Methods 70 patients with senile diabetic nephropathy admitted in our hospital from May 2015 to May 2017 were enrolled and divided into two groups according to the random number table method. Among them， 35 patients in the control group received routine nursing intervention. 35 cases in the observation group were treated with psychological nursing intervention on the basis of routine nursing. The effects of two nursing interventions on negative psychological factors in elderly patients with diabetic nephropathy were compared and analyzed. Results After treatment， the improvement of negative psychology in the observation group was better than that of the control group， and the difference between the two groups was statistically significant（P<0.05）. After treatment， the nursing satisfaction of the observation group was 97.1%， and the satisfaction of the control group was 71.4%. The difference was statistically significant （P<0.05）. Conclusion In the nursing intervention of elderly patients with diabetic nephropathy， the implementation of psychological nursing intervention can significantly improve the patient's negative psychology， promote patients' satisfaction with hospital care， improve the clinical treatment effect， and is worthy of clinical application.

[Key words] Psychological intervention； Senile diabetic nephropathy； Negative psychological factors； Influence

糖尿病属于一组代谢性疾病群，诱发因素为遗传或环境作用等，主要临床特征为慢性高血糖，患者如果没有得到及时治疗，就极易引发一系列并发症，如眼、神经、下肢等器官障碍，严重的情况下可能对患者的生命安全造成威胁[1]。糖尿病肾病是由糖尿病引发的对患者危害性最大的慢性并发症，有调查表明，有效控制血糖水平是降低糖尿病患者慢性并发症发生率的有效手段，所以在对老年糖尿病肾病患者进行治疗时，首先要严格控制患者的血糖水平。老年糖尿病肾病患者由于年龄较大、身体状况较差、病情恢复较慢，所以在接受治疗与护理时患者会存在一定的负面情绪，这对于疾病的治疗非常不利[2]。为了研究心理干预对老年糖尿病肾病患者负性心理因素的影响，本研究对我院2015年5月～2017年5月接收的70例老年糖尿病肾病患者的临床资料进行统计分析，探讨了心理干预对老年糖尿病肾病患者负性心理因素的影响，现报道如下。……