心理干预对维持性血液透析患者心理健康状况的影响  

Influence of psychological intervention on maintenance hemodialysis patients

作　　者：耿在香 曹红梅[2] 黄素英[2] 

机构地区：[1]扬州五台山医院,江苏扬州225003 [2]扬州市第一人民医院

出　　处：《临床心身疾病杂志》2010年第6期527-529,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨心理干预对维持性血液透析患者心理健康状况的影响.方法 将64例维持性血液透析患者随机分为两组,每组32例,两组患者在常规治疗的同时均予以常规护理,研究组在此基础上联合心理干预,观察8周.于心理干预前后采用症状自评量表和抑郁自评量表评定干预效果. 结果心理干预前,两组患者症状自评量表各项因子分〉2分者共35例,不同心理问题检出率为57.38%;干预后两组症状自评量表多项因子分均显著低于干预前（P〈0.01）,但研究组躯体化、强迫、抑郁、焦虑、敌对、精神病性因子分均显著低于对照组（P〈0.05或0.01）.干预后研究组抑郁自评量表总分显著低于干预前（P〈0.01）,对照组则均无显著变化（P〉0.05）. 结论 维持性血液透析患者存在诸多的心理问题,心理干预可显著改善患者的心理健康状况,减轻或缓解病痛,提高生活质量.Objective To explore the influence of mental intervention on maintenance hemodialysis pa- tients. Methods Sixty-four patients were randomly divided into two groups equally. The two groups were treated with conventional therapy and nursing, and the study group was combined with mental intervention for 8 weeks. Intervention effects were assessed with the Symptoms Checklist-90 （SCL-90） and Self-rating Depression Scale （SDS） before and after treatment. Results Many factors scores of SCL-90 in the two groups after treatment were lower than before treatment （P〈0.00）, and scores of somatization, compul- sion, depression, anxiety,hosility and psychosis in study group were lower than those in control group after treatment （P〈0.05）. The score of SDS in study group after treatmeng was lower than before treat- ment, while the control group had no significant change. Conclusion Maintenance hemodialysis patients have more mental problem. Mental intervention can improve their mental health condition enhance their life quality.

关 键 词：终末期肾衰竭 维持性血液透析 心理干预 心理健康 症状自评量表 抑郁自评量表 

分 类 号：R692.5[医药卫生—泌尿科学]