多媒体指导改善留置透析患者心理状态及生活质量的研究  

Study on the improvement of psychological status and quality of life of patients with indwelling dialysis with multimedia guidance

作　　者：苏毅梅[1] 郭裴燕[1] 傅晓艳 潘燕华[1] 林芸[1] Su Yimei;Guo Peiyan;Fu Xiaoyan;Pan Yanhua;Lin Yun(Department of Nephrology,Qinzhou Second People's Hospital,Qinzhou,Guangxi,535000,China)

机构地区：[1]钦州市第二人民医院肾内科,广西钦州535000

出　　处：《现代科学仪器》2021年第3期147-151,共5页Modern Scientific Instruments

基　　金：钦州市科学研究与技术开发计划项目(201410712)。

摘　　要：目的探讨双腔静脉导管患者采用多媒体指导对患者心理及生存质量改善的价值。方法选取我院接受血液透析治疗的150例患者作为研究对象,采用随机数字表分为多媒体组和对照组各75例,多媒体组患者采用多媒体方式进行相关指导,对照组采用常规干预指导措施;对比两组患者干预前后的抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、患者自我管理评分、生存质量评分差异。结果干预前两组患者的基线SDS、SAS评分对比,多媒体组和对照组差异不显著(P>0.05);干预后再次进行评价,多媒体组的SDS、SAS评分均低于对照组(P<0.05);干预前伙伴关系、执行自我护理、问题解决、情绪处理、自我管理总分分别进行组间对比,多媒体组和对照组差异不显著(P>0.05);多媒体组干预后伙伴关系、执行自我护理、问题解决、自我管理总分,高于对照组(P<0.05);干预前两组患者的生存质量各维度基线评分差异无统计学意义(P>0.05);干预后,多媒体组的生理功能评分、一般健康状况评分均高于对照组(P<0.05)。结论多媒体指导对于改善留置透析用双腔静脉导管患者抑郁、焦虑情绪及生存质量,提高自我管理能力有一定的临床实用价值。Objective:To explore the value of multimedia guidance for improving the mental health and quality of life of patients with indwelling double vena cava catheter for dialysis.Methods:150 patients who received hemodialysis treatment in our hospital were selected as the research objects,and were divided into a multimedia group and a control group with 75 cases each using a random number table.The patients in the multimedia group used multimedia for relevant guidance,and the control group used conventional intervention and guidance measures;There were differences in the self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score,patient self-management score,and quality of life scores before and after intervention.Results:Before the intervention,there was no significant difference in SDS and SAS scores between the multimedia group and the control group(P>0.05);after the intervention,the SDS and SAS scores of the multimedia group were lower than those of the control group(P<0.05);before the intervention,the multimedia group There was no statistically significant difference in the total scores of partnership,self-care,problem solving,emotional processing,and self-management between the control group and the control group(P>0.05);after the intervention,the multimedia group’s partnership,self-care,problem solving,and self-management The total scores were higher than those of the control group(P<0.05);before the intervention,there was no significant difference in the scores of the quality of life between the multimedia group and the control group(P>0.05);after the intervention,the scores of physiological function and general health of the multimedia group The condition scores were higher than those of the control group(P<0.05).Conclusion:Multimedia guidance plays an important role in improving the mental health and quality of life of patients with indwelling double vena cava catheters for dialysis,and improving self-management capabilities.

关 键 词：多媒体指导 双腔静脉导管 心理健康状态 生存质量 血液透析 

分 类 号：R47[医药卫生—护理学]