Effect of humanistic care nursing combined with Morita therapy on anxiety state of hemodialysis patients
何雯雯 1贾婉宁 1杨柳 1蔡志敏 1宋田雪 1陆海涛 1袁庆
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作者信息
1. 中日友好医院肾病科，北京 100029
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摘要
目的 探讨人文关怀护理联合森田疗法对血液透析患者焦虑状态的影响。 方法 本研究为自身对照研究，选取2020年8月至2022年8月在中日友好医院接受维持性血液透析治疗并存在焦虑状态的终末期肾脏疾病患者54例，对所有患者进行为期1个月的人文关怀护理联合森田疗法；比较患者干预治疗前后的焦虑自评量表（SAS）评分；定量资料的比较采用配对t检验，定性资料的比较采用χ2检验，不同因素与是否焦虑的相关关系采用Spearman相关分析进行统计。 结果 患者中男性26例，女性28例，年龄（61.8±16.3）（29~88）岁，患者干预后的SAS评分（44.0±11.1）分低于干预前（51.9±8.5）分（t=5.395，P<0.001）；患者是否焦虑与其年龄（r=0.305）、就业状况（r=0.270）以及婚姻状况（r=0.397）相关（均P<0.05），患者对干预治疗措施及护理前后的满意度分别为45.6%和87.7%（χ2=5.720，P<0.05）。 结论 人文关怀护理联合森田疗法治疗后，可以使焦虑状态患者心理明显改善，有利于血液透析治疗的顺利完成，提高患者的生活质量。 Objective To explore the effect of humanistic care combined with Morita therapy on anxiety state of hemodialysis patients. Methods A self-controlled study was conducted on 54 patients with end-stage renal disease and anxiety who received maintenance hemodialysis in China-Japan Friendship Hospital from August 2020 to August 2022. All patients were treated with humanistic care nursing and Morita therapy for one month. The Self Rating Anxiety Scale (SAS) scores of the patients before and after the intervention were compaired. The comparison of quantitative data was conducted by paired t-test, and the comparison of qualitative data was conducted by χ2 test. The correlation between different factors and anxiety was analyzed by Spearman correlation analysis. Results Among the 54 patients, there were 26 males and 28 females, aged (61.8±16.3) years (ranging from 29 to 88 years). The SAS score after the intervention (44.0±11.1) was lower than that before the intervention (51.9±8.5) (t=5.395, P<0.001). The anxiety of patients was related to their age (r=0.305), employment status (r=0.270) and marital status (r=0.397) (all P<0.05). The satisfaction of patients with care measures and nursing before and after the intervention was 45.6% and 87.7%, respectively (χ2=5.720, P<0.05). Conclusion After receiving combined humanistic care nursing and Morita therapy, patients in a state of anxiety could experience significant psychological improvement, which is conducive to the successful completion of hemodialysis treatment and enhances the quality of life for patients.
Abstract
Objective To explore the effect of humanistic care combined with Morita therapy on anxiety state of hemodialysis patients. Methods A self-controlled study was conducted on 54 patients with end-stage renal disease and anxiety who received maintenance hemodialysis in China-Japan Friendship Hospital from August 2020 to August 2022. All patients were treated with humanistic care nursing and Morita therapy for one month. The Self Rating Anxiety Scale (SAS) scores of the patients before and after the intervention were compaired. The comparison of quantitative data was conducted by paired t-test, and the comparison of qualitative data was conducted by χ2 test. The correlation between different factors and anxiety was analyzed by Spearman correlation analysis. Results Among the 54 patients, there were 26 males and 28 females, aged (61.8±16.3) years (ranging from 29 to 88 years). The SAS score after the intervention (44.0±11.1) was lower than that before the intervention (51.9±8.5) (t=5.395, P<0.001). The anxiety of patients was related to their age (r=0.305), employment status (r=0.270) and marital status (r=0.397) (all P<0.05). The satisfaction of patients with care measures and nursing before and after the intervention was 45.6% and 87.7%, respectively (χ2=5.720, P<0.05). Conclusion After receiving combined humanistic care nursing and Morita therapy, patients in a state of anxiety could experience significant psychological improvement, which is conducive to the successful completion of hemodialysis treatment and enhances the quality of life for patients.
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