心理干预对首次血液透析的慢性肾衰竭患者焦虑状态的影响  

Effect of psychological intervention on anxiety of patients with chronic renal failure undergoing first-time hemodialysis

作　　者：李晓平[1] 周平[1] 张曼玉[1] 

机构地区：[1]湖南省株洲市一医院肾内科,株洲412000

出　　处：《当代护士（中旬刊）》2011年第8期1-3,共3页Modern Nurse

摘　　要：目的探讨心理干预对首次血液透析的慢性肾衰竭患者焦虑状态的影响。方法将120例首次血液透析治疗的慢性肾衰竭患者随机分为心理干预组和对照组,对照组给予常规护理,心理干预组在此基础上实施有针对性的心理干预,采用Zung焦虑自评量表(SAS)分别评定2组患者干预前后的心理状况。结果首次血液透析的慢性肾衰竭患者普遍存在焦虑情绪,给予常规护理后,对照组患者的焦虑情绪有不同程度的改善;心理干预组给予常规护理加心理干预后,患者焦虑情绪明显改善,且优于对照组(p<0.05)。结论对首次血液透析的慢性肾衰竭患者实施有针对性的心理干预,可有效改善患者的焦虑状态,促进其以较好的心态接受血液透析治疗。Objective： To explore the effect of psychological intervention on anxiety of patients with chronic renal failure undergoing first - time hemodialysis. Methods： 120 cases of chronic renal failure patients undergoing first -time hemodialysis were randomized divided into 2 groups, psychological intervention group and control group. The control group were given routine care, the psychological intervention group were given targeted psychological intervention besides routine care. SAS was used to evaluate the psychological status of patients. The psychological status was compared between the two groups. Results： The psychological status of all patients were improved after intervention. Compared with control group, the psychological status of psychological intervention group was obviously better（p 〈 0.05 ） , and the neurologic deficits score was lower （p 〈 0.05 ）. Conclusion： Targeted psychological intervention can improve the anxiety status of chronic renal failure patients undergoing first - time hemodialysis effectively .

关 键 词：慢性肾衰竭 血液透析 焦虑 心理干预 

分 类 号：R473.5[医药卫生—护理学]