居家腹膜透析患者焦虑、抑郁、应对方式调查分析及干预研究  

A study of investigation,analysis and invention in anxiety,depression and coping styles of CAPD patients

作　　者：韦丽芳[1] 王洁[1] 陆柳雪[1] 韦梅娟 薛毅[1] 赖珍琼[1] 黄花玉[1] 

机构地区：[1]右江民族医学院附属医院,百色533000

出　　处：《右江医学》2015年第4期429-432,共4页Chinese Youjiang Medical Journal

基　　金：广西百色市科学研究与技术开发计划项目(20140934)

摘　　要：目的了解居家腹膜透析(CAPD)患者焦虑、抑郁和简易应对方式,并探讨干预方法。方法将焦虑自评量表(SAS)、抑郁自评量表(SDS)和简易应对方式问卷(SCSQ)发放给44例居家腹膜透析患者,根据调查结果实施持续护理干预。结果干预前CAPD患者SAS总得分为(60.02±4.59)分,与全国常模得分(29.78±0.46)分比较差异有统计学意义(t=176.9473,P=0.0000);抑郁平均得分(65.73±5.63)分,其中轻度抑郁6例(13.64%),中度抑郁24例(54.54%),重度抑郁14例(31.81%)。CAPD患者积极应对方式得分低于全国常模,消极应对方式高于全国常模,比较差异均有统计学意义(P<0.01)。实施持续护理干预后,CAPD患者焦虑、抑郁明显下降,比较差异均有统计学意义(P<0.01)。CAPD患者积极应对方式平均得分高于干预前,消极应对方式平均得分低于干预前,比较差异均有统计学意义(P<0.01)。结论对居家腹膜透析患者实施持续护理干预后,能减轻患者焦虑与抑郁,提高患者积极应对方式能力,减少消极应对方式,从而改善患者的负性心理,提高患者的生活质量。Objective To understand anxiety,depression and simplified coping styles of patients with continuous ambulatory peritoneal dialysis（ CAPD）,as well as to discuss the intervention methods. Methods Self-rating anxiety scale（ SAS）,self-rating depression scale（ SDS） and simplified coping style questionnaire（ SCSQ） were provided to 44 CAPD patients,and sustain nursing intervention was carried out according to results of the investigation afterward. Results Before the intervention,SAS score of CAPD patients was（ 60. 02 ± 4. 59）,and compared with that of national norm（ 29. 78 ± 0. 46）,difference was statistically significant（ t = 176. 9473,P = 0. 0000）. Average score of depression was（ 65. 73 ± 5. 63）,6 cases（ 13.64%） had slight depression,24（ 54. 54%） had moderate depression and 14（ 31. 81%） had severe depression. Score of optimistic coping styles of CAPD patients was lower than that of the national norm,while the score of negative coping styles was higher,so the differences were statistically significant（ P〈 0. 01）. After sustain nursing intervention,the anxiety and depression of CAPD patients decreased apparently,so the differences were statistically significant（ P〈 0. 01）. Average score of optimistic coping styles of CAPD patients was higher than that before intervention,while the average score of negative coping styles was lower,so the differences were statistically significant（ P〈 0. 01）. Conclusion To implement sustain nursing intervention on CAPD patients can reduce the anxiety and depression,improve the optimistic coping ability,eliminate negative coping styles,so as to improve the negative psychology of patients and their quality of life.

关 键 词：护理干预 腹膜透析 焦虑 抑郁 应对方式 

分 类 号：R473.2[医药卫生—护理学]