精准扶贫对农村维持性血液透析患者社会心理状况的影响  

Effect of targeted poverty alleviation on social and psychological status of rural maintenance hemodialysis patients

作　　者：任称发[1] 刘德慧[1] 王芳 许仁聪 REN Chengfa;LIU Dehui;WANG Fang;XU Rencong(Department of Nephrology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院肾内科,江西赣州341000

出　　处：《中国当代医药》2023年第19期120-123,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20204564);江西省中医药管理局科技计划项目(2021B414)。

摘　　要：目的研究精准扶贫对农村维持性血液透析患者社会心理状况的影响。方法选取2019年5月至2021年5月赣州市人民医院收治的200例农村维持性血液透析患者为研究对象,按照随机数字表法分为观察组和对照组,每组100例。对照组采用常规干预,观察组实施精准扶贫措施。比较两组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持、90项症状清单(SCL-90)项目评分及两组患者对医务人员的总满意度。结果干预前,两组患者的SAS和SDS评分比较,差异无统计学意义(P>0.05);干预后,两组患者的SAS和SDS评分均低于本组干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的感情支持、物质支持、信息支持、社交支持及社会支持总分比较,差异无统计学意义(P>0.05);干预后,两组患者的感情支持,物质支持,信息支持,社交支持及社会支持总分均低于本组干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的阳性项目数、阴性项目数、阳性症状总分和均分比较,差异无统计学意义(P>0.05);干预后,两组患者的阳性项目数、阳性症状总分和总分均低于本组干预前,阴性项目数高于本组干预前,差异有统计学意义(P<0.05);干预后,两组患者的阳性项目数、阴性项目数、阳性症状均分和总分比较,差异无统计学意义(P>0.05)。两组患者对医务人员的总满意度比较,差异无统计学意义(P>0.05)。结论精准扶贫对农村维持性血液透析患者的社会心理状况具有明显改善作用。Objective To study the effect of targeted poverty alleviation on social and psychological status of rural maintenance hemodialysis patients.Methods A total of 200 patients with rural maintenance hemodialysis admitted to Ganzhou People's Hospital from May 2019 to May 2021 were selected as the research objects,they were divided into observation group and control group according to random number table method,with 100 patients in each group.The control group received routine intervention,the observation group received targeted poverty alleviation measures.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),social support,symptom check list-90(SCL-90)before and after intervention and total satisfaction of the two groups of patients with medical staff were compared.Results Before intervention,there were no statistically significant differences in SAS and SDS scores between the two groups of patients(P>0.05).After intervention,the SAS and SDS scores of the two groups of patients were lower than those before intervention,and the scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in emotional support,material support,information support,social support and social support total scores between the two groups of patients(P>0.05).After intervention,the emotional support,material support,information support,social support and social support total scores of the two groups of patients were lower than before intervention,the scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in the number of positive and negative items,positive symptom average scores and total scores between the two groups of patients(P>0.05).After intervention,the number of positive items,average score of positive symptom and total scor

关 键 词：精准扶贫 农村 维持透析 社会心理状况 

分 类 号：R195.4[医药卫生—卫生统计学]