情境体验式健康教育联合心理辅导在维持性血液透析患者中的应用  

Application effect of situational experience health education with psychological counseling for maintenance hemodialysis patients

作　　者：骆美良[1] 胡岗[2] 李薇[1] 

机构地区：[1]浙江省立同德医院血液净化中心,杭州310012 [2]浙江省立同德医院肾内科,杭州310012

出　　处：《中华现代护理杂志》2015年第12期1408-1411,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨情境体验式健康教育联合心理辅导在维持性血液透析患者中的应用效果。方法选取终末期肾病并行维持性血液透析的患者80例,根据随机数字表法分为观察组及对照组各40例。对照组接受常规健康教育,观察组在常规健康教育的基础上,行情境体验式健康教育并同时进行心理辅导。比较两组患者年龄等一般资料,使用简明健康调查量表、焦虑自评量表、抑郁自评量表对患者行问卷调查。结果两组患者在年龄等一般资料之间比较差异无统计学意义（P〉0.05）。观察组实施干预后在活力、生理功能、社会功能、躯体疼痛、精神健康、生理职能、情感职能及总体健康等8个维度的健康生活质量测评方面得分均高于对照组（ t 值分别为6.102,4.484,5.311,5.268,5.339,3.939,7.885,6.952；P〈0.01）。干预后观察组焦虑自评量表得分为（53.7±9.1）分,与对照组的（58.9±11.0）分比较差异有统计学意义（t =4.621,P 〈0.01）。观察组护理后抑郁自评量表得分为（45.4±6.8）分,较对照组的（54.6±7.6）分有明显改善,差异有统计学意义（t=5.623,P〈0.01）。干预后观察组患者高血压、低血压、低血糖、内瘘闭塞等并发症的发生率明显低于对照组,差异有统计学意义（χ2值分别为6.023,7.352,5.364,5.964；P〈0.05）。结论对维持性血液透析患者开展情境体验式健康教育联合心理辅导,显著提高了患者的生活质量,改善其心理状态。Objective To explore the application effect situational experiencing health education with psychological counseling in maintenance hemodialysis patients. Methods A total of 80 patients, who had the final stage of renal failure and treated by maintenance hemodialysis in Tongde Hospital of Zhejiang Province in January 2013 to February 2014, were selected and randomly divided into observation group and control group on average. The patients of control group received conventional health education, while the patients of observation group were on the basis of conventional health education, received health education market environment and simultaneously experiencing psychological counseling. We compared the patients′general information such as the age, and utilized concise health SF-36 quality of life questionnaire and self-rating anxiety scale （ SAS ） and self-rating depression scale （ SDS） to questionnaire. Results The difference between the patient′s age and other general information were not statistically significant （P〉0. 05）. Scores of observation group were higher than these of the control group in vitality, physical function, social function, bodily pain, mental health, physical function, role emotional and general health aspects of eight dimensions （ t =6. 102, 4. 484, 5. 311, 5. 268, 5. 339, 3. 939, 7. 885, 6. 952;P 〈0. 01）. After nursing intervention, the score of SAS acquired （53. 7 ± 9.1）, higher than （58. 9 ± 11. 0） of control group （t =4. 621,P 〈0. 01）. The score of SDS improved significantly compared the score of control group （45. 4 ± 6. 8） vs. （54. 6 ± 7. 6）, which had statistical significance between two group （t =5. 623,P 〈0. 01）. The complication incidences of observation group patients were apparently lower than those the control group including high blood pressure, low blood pressure, low blood glucose, and fistula occlusion （χ2 =6. 023, 7. 352, 5. 364, 5. 964;P〈0. 05）. Conclusions The situational experience health education with psych

关 键 词：情境教学法 体验式学习 健康教育 维持性血液透析 

分 类 号：R473.5[医药卫生—护理学]