基于人格特征性分类多维度干预模式对维持性血液滤过性透析患者心理状态及营养状况的影响  

Influence of multidimensional intervention mode based on personality characteristic classification on the mental state and nutritional status of maintenance hemofiltration dialysis patients

作　　者：赵君[1] 杨红美 李楠[1] 赵双双 赵晖[1] 张志勇 ZHAO Jun;YANG Hongmei;LI Nan;ZHAO Shuangshuang;ZHAO Hui;ZHANG Zhiyong(Department of Nephrology,Sixth Medical Center,Chinese People’s Liberation Army General Hospital,Beijing 100000,China)

机构地区：[1]解放军总医院第六医学中心肾内科,北京100000

出　　处：《中国医药导报》2023年第25期177-181,共5页China Medical Herald

摘　　要：目的探讨基于人格特征性分类多维度干预模式对维持性血液滤过性透析患者心理状态及营养状况的影响。方法选取2019年6月至2022年7月解放军总医院第六医学中心肾内科接受维持性血液滤过性透析的100例患者作为研究对象。根据随机数字表法将其分为参照组和研究组,每组50例。参照组给予常规护理,研究组在参照组的基础上基于人格特征性分类的多维度护理。干预28 d后,观察两组心理状态、营养状态变化情况。结果干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);干预后,两组前白蛋白、总蛋白、白蛋白水平均高于干预前,且研究组高于参照组,差异有统计学意义(P<0.05)。结论维持性血液滤过性透析患者治疗期间行基于人格特征性分类多维度护理干预,能够帮助患者有效改善心理状态,有助于提高疗效,改善机体营养状况。Objective To explore the influence of multidimensional intervention mode based on personality characteristic classification on the mental state and nutritional status of maintenance hemofiltration dialysis patients.Methods A total of 100 patients receiving maintenance hemofiltration dialysis in the Department of Nephrology,Sixth Medical Center,Chinese People’s Liberation Army General Hospital from June 2019 to July 2022 were selected as subjects.According to random number table method,the patients were divided into reference group and research group,with 50 cases in each group.The reference group was given routine nursing,and the research group was given multidimensional intervention mode based on personality characteristic classification.The changes of mental state and nutritional state of the two groups were observed after 28 d of intervention.Results After intervention,the scores of self-rating anxiety scale and self-rating depression scale in both groups were lower than those before intervention,and those of the study group were lower than those of the reference group,the differences were statistically significant(P<0.05);after intervention,the levels of pre-albumin,total albumin,and albumin in both groups were higher than those before intervention,and those of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).Conclusion During the treatment of patients with maintenance hemofiltration dialysis,multidimensional nursing intervention based on personality characteristics classification can help patients effectively improve their psychological state,improve the therapeutic effect and improve the nutritional status of the body.

关 键 词：维持性透析 血液透析滤过 人格特征性分类 多维度护理 心理状态 营养状况 

分 类 号：R473[医药卫生—护理学]