首页|强化健康教育联合心理护理在行维持性血液透析患者中的应用效果

强化健康教育联合心理护理在行维持性血液透析患者中的应用效果

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 探讨强化健康教育联合心理护理应用于行维持性血液透析患者的效果。方法 回顾性分析 2021 年1 月至2022 年12 月江苏大学附属医院收治的82 例行维持性血液透析患者的研究资料，按照不同的护理措施进行分组，分为对照组和观察组。对照组41 例患者采用常规护理进行干预，观察组41 例患者采用强化健康教育联合心理护理进行干预。比较2 组患者在行血液透析期间的体重增幅情况和健康教育知识掌握情况，并评估 2 组患者在入院时、出院时及出院1 个月后的心理状态。结果 观察组体重增长幅度为 3%～5%的分布比例明显较对照组更高，体重增长幅度为<3%、5%～7%和>7%的分布比例均较对照组更低(P均<0。05)。出院时及出院1 个月后，观察组的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分与同期对照组相比均更低(P均<0。05)，且 2 组的SAS评分和SDS评分与同组入院时相比均更低(P均<0。05)。观察组在自我护理知识、药物与饮食知识、疾病知识以及对健康知识的掌握情况方面的评分均较对照组更高(P均<0。05)。结论 强化健康教育联合心理护理不仅能使患者在行血液透析期间具备良好的水分控制能力，有效控制体重变化，还能改善患者的心理状态，提高其健康教育知识掌握程度。
Application effect of strengthened health education combined with psychological nursing in patients undergoing maintenance hemodialysis
Objective To explore the effect of strengthened health education combined with psychological nursing on the patients undergoing maintenance hemodialysis.Methods A retrospective analysis was conducted on the data of 82 maintenance hemodialysis patients admitted to the Affiliated Hospital of Jiangsu University from January 2021 to December 2022.Assignment was done according to different nursing measures:a control group and an observation group.The 41 patients in the control group received routine nursing intervention,while the 41 patients in the observation group received intervention of strengthened health education combined with psychological nursing.The weight gain and mastery of health education knowledge were compared between the two groups during hemodialysis,and their psychological state was evaluated at admission,discharge,and 1 month after discharge.Results The distribution proportion of weight gain of 3%～5%in the observation group was significantly higher than that of the control group,and the distribution proportions of weight gain of<3%,5%～7%,and>7%were all lower than those of the control group(all P<0.05).At discharge and 1 month after discharge,the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)scores of the observation group were lower than those of the control group(all P<0.05),and the SAS and SDS scores of both groups were lower than those at admission(all P<0.05).The observation group scored higher than the control group in terms of self-care knowledge,medication and dietary knowledge,disease knowledge,and health knowledge mastery(all P<0.05).Conclusion Strengthened health education combined with psychological nursing can not only enhance the patients'ability of water control and effectively control the body weight changes during hemodialysis,but also improve their psychological state and enhance their mastery of health education knowledge.

maintenance hemodialysisstrengthened health educationpsychological nursingpsychological state

贡惠芳、周燕、王文燕、杨萍萍

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江苏大学附属医院,江苏 镇江,212000

维持性血液透析 强化健康教育 心理护理 心理状态

2024

10.11997/nitcwm.202404005

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN：2096-0867
年,卷(期)：2024.10(4)