人性化护理干预对慢性肾小球肾炎患者心理及生活质量的影响  

Influence of humanistic nursing intervention on psychological state and life quality in patients with chronic glomerulonephritis

作　　者：徐丹红[1] 李亚妤[1] 

机构地区：[1]杭州市中医院肾内科,浙江杭州310007

出　　处：《中国现代医生》2015年第19期149-152,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金计划(2012ZB110)

摘　　要：目的研究和探讨人性化护理干预对慢性肾小球肾炎患者心理及生活质量的影响。方法选择2013年1月~2014年1月在我院住院治疗的慢性肾小球肾炎患者60例,根据护理方法不同随机分为观察组（n=30）和对照组（n=30）。其中对照组患者采用常规的护理方法;观察组采取人性化护理,对比分析两组的疗效及生活质量评分、SAS评分、SDS评分。结果观察组的总有效率达90.00%（27/30）,显著高于对照组的总有效率70.00%（21/30）,差异有统计学意义（P〈0.05）;干预组和对照组干预后的SAS评分、SDS评分较干预前显著降低,且干预组显著低于对照组,差异有统计学意义（P〈0.05）,干预组和对照组干预后的精力、疼痛、情绪反应、睡眠、社交隔离和躯体活动评分较干预前显著降低,且干预组分别显著低于对照组,差异有统计学意义（P〈0.05）。结论人性化护理干预可以提高慢性肾小球肾炎的疗效及生活质量,缓解患者的焦虑、抑郁心理,从而使其能够积极配合治疗和护理。Objective To study and explore the influence of humanized nursing on psychological state and life quality in patients with chronic glomerulonephritis. Methods From January 2013 to January 2014 in our hospital 60 patients with chronic glomerulonephritis according to the different nursing methods were divided into observation group （n=30） and control group （n=30）. The patients in the control group treated by conventional methods of care. The observation group with humanistic nursing, the efficacy of the two groups, and two groups of the patient＇s quality of life score, SAS score, SDS score were compared. Results The total effective rate in the observation group was 90.00% （27/30）, was sig-nificantly higher than that in the control group 70.00%（21/30）, the difference was statistically significant （P〈0.05）. The SAS score, SDS score of intervention group and the control group after the intervention were significantly lower than be-fore intervention, and the intervention group was significantly lower than the control group, the difference was statisti-cally significant（P〈0.05）, Energy, pain, emotional reactions, sleep, social isolation and somatic activity score of the in-tervention group and the control group after the intervention were significantly reduced compared with those before in-tervention, and the intervention group was significantly lower than the control group, the difference was statistically sig-nificant （P〈0.05）. Conclusion The humanized nursing intervention can improve the effect and quality of life in chronic glomerulonephritis, anxiety, depression, so as to enable them to actively cooperate with treatment and nursing.

关 键 词：慢性肾小球肾炎 人性化护理 SAS评分 SDS评分 生活质量 

分 类 号：R473.5[医药卫生—护理学] R692[医药卫生—临床医学]