Objective To investigate the effect of stepwise psychological nursing on anxiety,depression,sleep quality and quality of life in patients with end-stage renal disease(ESRD)undergoing hemodialysis(HD).Methods A total of 80 HD patients admitted to Hemodialysis Room,Gaoxin Hospital of the First Affiliated Hospital of Nanchang University from Octo-ber to November 2023 were selected as the study participants,and were divided into control group(40 cases)and observa-tion group(40 cases)according to random number table method.The control group received routine nursing,and the obser-vation group received routine nursing combined with stepwise psychological nursing.Anxiety and depression(self-rating anxiety scale[SAS],self-rating depression scale[SDS]),sleep quality(Pittsburgh sleep quality index[PSQI],incidence of sleep disorders)and quality of life(the MOS 36-item short form health survey[SF-36])were compared between the two groups before and after nursing.Results The SAS scores and SDS scores of the observation group were lower than those of the control group after nursing,and the differences were statistically significant(P＜0.05).The PSQI score and the incidence of sleep disorder after nursing in observation group were lower than those in control group,the differences were statistically significant(P＜0.05).The SF-36 scores of the observation group were higher than those of the control group,and the differ-ences were statistically significant(P＜0.05).Conclusion Stepwise psychological nursing effectively improves the level of anxiety and depression in HD patients and improve the quality of sleep,which is helpful to improve the quality of life.
关键词
血液透析/阶梯式心理护理/焦虑抑郁/睡眠质量/生活质量
Key words
Hemodialysis/Stepwise psychological nursing/Anxiety and depression/Sleep quality/Quality of life
维普
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