世界睡眠医学杂志2024,Vol.11Issue(4) :862-865.DOI:10.3969/j.issn.2095-7130.2024.04.043

人文关怀联合心理干预对维持性血透患者焦虑、抑郁情绪及睡眠状况的影响

The Effect of Humanistic Care Combined with Psychological Intervention on Anxiety,Depression,and Sleep Status of Maintenance Hemodialysis Patients

王玲琼 王一雄
世界睡眠医学杂志2024,Vol.11Issue(4) :862-865.DOI:10.3969/j.issn.2095-7130.2024.04.043

人文关怀联合心理干预对维持性血透患者焦虑、抑郁情绪及睡眠状况的影响

The Effect of Humanistic Care Combined with Psychological Intervention on Anxiety,Depression,and Sleep Status of Maintenance Hemodialysis Patients

王玲琼 1王一雄1
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作者信息

  • 1. 福建省泉州市第一医院,泉州,362000
  • 折叠

摘要

目的:分析文关怀联合心理干预对维持性血透患者焦虑、抑郁情绪及睡眠状况的影响.方法:选取2022年10月至2023年12月福建省泉州市第一医院收治的行维持性血液透析(MHD)的终末期肾病(ESRD)患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例.对照组给予常规护理干预,观察组在对照组基础上同时给予心理护理干预.采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,并比较2组患者睡眠障碍发生率.结果:干预后,观察组SAS、SDS评分、PSQI评分均显著低于对照组,观察组睡眠障碍发生率显著低于对照组,差异均有统计学意义(均P<0.05).结论:人文关怀联合心理护理干预可有效减轻MHD患者焦虑、抑郁情绪,改善睡眠障碍,提升睡眠质量,值得临床推广应用.

Abstract

Objective:To analyze the effects of cultural care combined with psychological intervention on anxiety,depression,and sleep status in maintenance hemodialysis patients.Methods:A total of 86 patients with end-stage renal disease(ESRD)who un-derwent maintenance hemodialysis(MHD)and were admitted to the First Hospital of Quanzhou City,Fujian Province,from Octo-ber 2022 to December 2023,were selected as the study subjects.They were randomly divided into observation and control groups using a random number table method,with 43 cases in each group.The control group received routine nursing intervention,while the observation group received psychological nursing intervention in addition to the control group.The Pittsburgh Sleep Quality In-dex(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms in the two groups of patients,and the incidence of sleep disorders was compared between the two groups of patients.Results:After inter-vention,the SAS,SDS,and PSQI scores of the observation group were significantly lower than those of the control group,and the incidence of sleep disorders in the observation group was significantly lower than that of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:The combination of humanistic care and psychological nurs-ing intervention can effectively alleviate anxiety and depression in MHD patients,improve sleep disorders,and enhance sleep qual-ity,which is worthy of clinical promotion and application.

关键词

终末期肾病/维持性血液透析/人文关怀/心理干预/焦虑/抑郁/睡眠障碍

Key words

End-stage renal disease/Maintenance hemodialysis/Humanistic care/Psychological intervention/Anxiety/Depres-sion/Sleep disorders

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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