摘要

【摘要】
目的：分析优质心理护理干预对维持性尿毒症血液透析患者焦虑抑郁情绪的影响。

方法：选取我院2012年8月-2014年9月期间收治的76例维持性尿毒症血液透析患者作为研究对象，采用随机数字分组法将76例患者均分为观察组与对照组两组，对照组38例患者采用常规护理模式，观察组38例患者在综合分析维持性血液透析各阶段焦虑抑郁情绪影响诱因的基础上，实施优质心理护理干预，采用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)，综合对比两组患者治疗前后生活质量及焦虑、抑郁评分差异。

结果：经不同护理模式干预后，观察组38例患者焦虑、抑郁评分相比治疗前及同期对照组患者显着较低（P＜0.05）。且观察组38例患者经心理护理干预后，SF-36量表中的生理机能、生理职能、情感职能、生活活力、精神健康六项维度评分均显着增高，相比对照组患者干预前后各项维度分值无显着变化，组间差异对比，P＜0.05，具有统计学意义。

结论：针对维持性尿毒症血液透析患者，定向实施优质心理护理干预，可有效改善患者焦虑、抑郁情绪，进一步强化患者预后生活质量，值得临床综合应用推广。

关键词：【关键词】尿毒症；持续性血液透析；心理护理干预；焦虑抑郁情绪

ABSTRACT

[Abstract]
Objective: To analyze the psychological nursing mode of maintenance in patients with uremia hemodialysis anxiety-depression.

Methods: our hospital in August 2012, admitted during the period of 2014 September 76 maintenance uremia hemodialysis patients as the research object, USES the random number grouping 76 patients were divided into observation group and control group in the two groups, control group 38 cases were treated by routine nursing mode, bad mood intervention group 38 cases patients through the analysis of the advance of undesirable mood type, based on the directional pattern, psychological nursing and the SF - 36 scale, Zung self rating anxiety scale (SAS) and depression self rating scale (SDS), system evaluation in the two groups before and after treatment in patients with quality of life and the difference between anxiety and depression scores, the analysis of two groups of patients with bad mood.

Results: clinical observation group of 38 patients with anxiety the control group patients before treatment was significantly lower (P<0.05). And observation group of patients after psychological nursing intervention in the SF - 36 scale physiological function, physiological function, emotional function, mental health, physical pain and general health scores were significantly increased, contrast differences between groups, P < 0.05, with statistical significance.

Conclusion  : according to the maintenance in patients with uremia hemodialysis, patients with bad mood directional analysis and then to implement psychological nursing mode, which can effectively improve the patients' anxiety, depression and other mental problems in a bad mood, the prognosis of patients with strengthening the quality of life, worthy of clinical comprehensive application promotion.

Key words: [Key words] Uremia; Continuous hemodialysis; Psychological nursing intervention; The quality of life