虚拟现实技术在维持性血液透析患者心理负性情绪的应用效果  

The application effect of virtual reality technology on the negative psychological emotions of maintenance hemodialysis patients

作　　者：李雪莲[1] 敬剑英[1] 林玲[1] LI Xuelian;JING Jianying;LIN Ling(Department of Nephrology,Affiliated Hospital of North Sichuan Medical College,Nanchong637000,China)

机构地区：[1]川北医学院附属医院肾病内科,四川南充637000

出　　处：《中国现代医生》2022年第1期110-113,共4页China Modern Doctor

基　　金：四川省南充市社会科学研究“十四五”规划项目(NC2021B039)。

摘　　要：目的 探讨虚拟现实技术在维持性血液透析患者心理负性情绪的应用效果。方法 选取2020年10月至2021年4月在川北医院附属医院肾内科接受长期维持性血液透析治疗的70例肾病患者为研究对象,采用随机数字表法分为试验组和对照组,每组各35例,两组患者分别接受常规干预及虚拟现实技术干预,对患者干预前后的汉密尔顿焦虑(HAMA)评分、汉密尔顿抑郁(HAMD)评分、生活质量评分、治疗依从性情况进行观察。结果干预前,试验组与对照组的HAMA、HAMD评分比较,差异无统计学意义(P>0.05),干预后分别为(16.97±1.16)分和(26.39±2.14)分,(20.16±1.43)分和(28.41±2.54)分,差异有统计学意义(P<0.001);干预后试验组和对照组患者的生活质量评分分别从心理功能、生理功能和社会功能三个角度评价,试验组依次为(79.63±5.48)分、(70.49±4.29)分和(72.48±4.09)分,对照组依次为(67.49±4.05)分、(56.93±3.18)分和(55.69±3.42)分,差异有统计学意义(P<0.001);试验组的依从性为97.14%,对照组为74.29%,两组间各指标比较,试验组均高于对照组,差异有统计学意义(P<0.05)。结论 虚拟现实技术在维持性血液透析患者心理负性情绪的应用中具有良好效果,不仅能够缓解患者的负性心理,同时能够改善其生活质量,提升患者总依从性。Objective To explore the application effect of virtual reality technology on the negative psychological emotions of maintenance hemodialysis patients.Methods Seventy patients with nephropathy who received long-term maintenance hemodialysis in the Nephrology Department of Affiliated Hospital of North Sichuan Medical College from October 2020 to April 2021 were selected.The patients were divided into the experimental group(n=35)and the control group(n=35)by the random number table method.Patients in the two groups received the routine intervention and virtual reality technical intervention,respectively.The Hamilton Anxiety(HAMA)score,Hamilton Depression(HAMD)score and quality of life score,and treatment compliance were observed before and after the intervention.Results Before the intervention,the HAMA and HAMD scores of the experimental group and the control group were not statistically different(P>0.05).The scores after the intervention were(16.97±1.16)and(26.39±2.14)points,(20.16±1.43)points and(28.41±2.54)points,the difference is statistically significant(P<0.001).After the intervention,the physiological function,physical function,and social function of the patients in the experimental group were(79.63±5.48),(70.49±4.29)and(72.48±4.09)in order.The physiological function,physical function,and social function of the patients in the control group were(67.49±4.05)points,(56.93±3.18)points,and(55.69±3.42)points in the control group,the difference is statistically significant(P<0.001).The compliance was 97.14%in the experimental group and 74.29%in the control group.The above indicators of the experimental group were significantly better than the control group,with significant differences(P<0.05).Conclusion Virtual reality technology has a good application effect on negative psychological emotions in maintenance hemodialysis patients.It can alleviate patients'negative psychology,improve their quality of life,and enhance the total compliance of patients.

关 键 词：虚拟现实技术 维持性血液透析 心理负性情绪 焦虑抑郁评价 依从性 

分 类 号：R692[医药卫生—泌尿科学]