延伸护理对降低尿毒症患者反社会行为的影响  

Effect of Extended Nursing Care on Reducing Antisocial Behavior of Patients with Uremia

作　　者：谢根萍 林巧玲 邹秋艳 王晓华 谢祖刚 XIE Genping;LIN Qiaoling;ZOU Qiuyan;WANG Xiaohua;XIE Zugang(Longyan People's Hospital of Fujian University of Traditional Chinese Medicine,Longyan 364000,China;不详)

机构地区：[1]福建中医药大学附属龙岩人民医院,福建龙岩364000

出　　处：《中国医学创新》2023年第4期132-135,共4页Medical Innovation of China

基　　金：龙岩市科技计划项目(2020LYF17008)。

摘　　要：目的:探究延伸护理对降低尿毒症患者反社会行为的影响。方法:回顾性选取2017年2月-2020年1月于福建中医药大学附属龙岩人民医院治疗的650例尿毒症患者的临床资料,按其所采取的护理方法分为延伸组354例和对照组296例,对照组采用常规护理干预,延伸组在对照组基础上采取延伸护理干预,比较两组护理前后自我管理能力及反社会行为水平变化。结果:干预3个月,延伸组反社会行为次数明显少于对照组,差异有统计学意义(P<0.05);干预3个月后,延伸组反社会人格倾向评估量表中,敌对-易怒维度评分、反社会-攻击维度评分、冲动性-强求维度评分、总分均明显低于对照组,差异均有统计学意义(P<0.05);干预3个月后,延伸组维持性血液透析患者自我管理能力调查量表各维度及总分均明显高于对照组(P<0.05)。结论:延伸护理可提高其自我管理能力,降低反社会行为水平,减少反社会行为事件的发生。Objective:To explore the effect of extended nursing care on reducing antisocial behavior in patients with uremia.Method:The clinical data of 650 patients with uremia who were treated in Longyan People's Hospital of Fujian University of Traditional Chinese Medicine from February 2017 to January 2020 were retrospectively selected.According to the nursing methods,they were divided into the extended group(n=354)and the control group(n=296),The control group received routine nursing intervention.The extended nursing intervention was carried out in the extended group on the basis of the control group.The changes of psychological status,self-management ability and antisocial behavior were compared between the two groups before and after nursing.Result:After 3 months of intervention,the number of antisocial behaviors in the extended group was significantly less than that in the control group,the difference was statistically significant(P<0.05).After 3 months of intervention,in the antisocial personality inventory,the scores of antagonism-irritability dimension,antisocialaggression dimension,impulsivity-compulsive dimension and total scores in the extended group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the each dimensions scales of self-management ability and total scores of maintenance hemodialysis patients in the extended group were significantly higher than those in the control group(P<0.05).Conclusion:Extended care can improve self-management,reduce levels of antisocial behaviour and reduce the occurrence of antisocial behaviour incidents.

关 键 词：尿毒症 透析 延伸护理 自我管理能力 反社会行为 

分 类 号：R473.5[医药卫生—护理学]