腹膜透析患者焦虑心理状况调查及对策  

作　　者：褚梅容[1] 黄秋影[2] 叶德琴[1] 

机构地区：[1]惠州市人民医院 [2]惠州市中心人民医院,广东惠州516002

出　　处：《现代临床护理》2008年第3期4-6,共3页Modern Clinical Nursing

摘　　要：目的了解腹膜透析患者焦虑心理状况,并分析原因,以便提出针对性的对策,提高患者的生活质量。方法采用问卷调查的方式,选用焦虑自评量表(SAS)调查了75例腹膜透析患者。结果69.3%的腹膜透析患者存在着不同程度的焦虑情绪和症状,其中总分≥50分的22例,占29.3%,40～49分的30例,占40.0%。结论腹膜透析患者存在着不同程度的焦虑情绪和症状,与患者过分担忧腹膜透析成败,社交活动少,自卑、多疑,病程长,过分依赖及家庭支持照顾不周等方面有关;护理人员应针对原因加强患者的心理支持,提高腹透患者的健康水平。Objective To learn the psychological anxiety and its causes in patients under peritoneal dialysis and propose countermeasures to improve their life quality. Method A total of 75 patients under peritoneal dialysis at home were surveyed with Self-rating Anxiety Scale （SAS）. Results Anxious feelings and symptoms were present to different extent in 69.3% of patients. 22 patients （29.3%） scored over 50, 30 （40.0%） scored 40-49. Conclusion Different degrees of anxious feelings and symptoms existed in patients under peritoneal dialysis at home. Aspects such as fears, pessimism, fewer social activities, suspiciousness, overdependence and inadequate family support are related to patients＇ anxiety. Nurses should provide psychological support for patients and improve their health.

关 键 词：腹膜透析 焦虑 焦虑自评量表 护理 

分 类 号：R473.5[医药卫生—护理学]