【摘要】 目的:探讨根据年龄进行同理心护理模式对肾衰竭血透患者自护能力、情绪状态及生活质量的影响。方法:选取2013年4月~2014年4月医院持续血液透析的肾衰竭患者53例作为对照组,行常规同理心护理;选取2014年5月~2015年5月医院持续血液透析的肾衰竭患者53例作为观察组,根据年龄进行同理心护理。对患者发放自拟自我护理能力问卷调查,发放中文版生活质量评价量表(SF-36)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)。结果:观察组护理后HAMA评分和HAMD评分分别为(9.05±2.07)分、(8.64±3.64)分,均低于对照组,差异具有统计学意义(P<0.05);观察组护理后自护技能、血液透析知识、血液透析态度、依从性评分分别为(52.62±7.31)分、(23.08±4.96)分、(38.34±5.26)分、(36.94±2.01)分,显著高于对照组,差异具有统计学意义(P<0.05);观察组护理后生理职能、心理健康、情绪职能、角色职能、社会职能分别为(91.33±4.20)分、(94.68±4.34)分、(93.68±2.76)分、(94.20±3.88)分、(90.05±3.64)分,明显高于对照组,差异具有统计学意义(P<0.05)。结论:根据肾衰血透患者年龄给予同理心护理,能够改善其心理障碍,提高自护能力。更多还原

【Abstract】 Objective: To discuss influence of age- based empathy nursing on self- nursing ability,emotion and life quality of renal failure patients treated with hemodialysis. Methods: Selected 53 cases of renal failure patients treated with continuous hemodialysis in our hospital from April 2013 to April 2014 as the control group and provided them with usual empathy nursing; selected 53 cases of renal failure patients treated with continuous hemodialysis in our hospital from May 2014 to May 2015 as the observation group and provided them with age- based empathy nursing. Distributed to patients independently-made self- nursing ability questionnaire,and Chinese versions of the short- form( SF- 36),Hamilton anxiety scale( HAMA),Hamilton depression scale( HAMD). Results: HAMA scores and HAMD scores of observation group patients after nursing were( 9. 05 ± 2. 07) and( 8. 64 ± 3. 64) respectively,which were lower than those of control group patients. The differences had statistical significances( P < 0. 05); Scores on self- nursing skill,hemodialysis knowledge,attitude toward hemodialysis and compliance of observation group patients after nursing were( 9. 05 ± 2. 07),( 23. 08 ± 4. 96),( 38. 34 ± 5.26) and( 36. 94 ± 2. 01) respectively,which were obviously higher than control group patients. The differences had statistical significances( P < 0. 05);Scores on physical function,mental health,emotional function,role function and social function of observation group patients after nursing were( 91. 33 ±4. 20),( 94. 68 ± 4. 34),( 93. 68 ± 2. 76),( 94. 20 ± 3. 88) and( 90. 05 ± 3. 64) respectively,which were obviously higher than those of control group patients. The differences had statistical significances( P < 0. 05). Conclusion: Providing age- based empathy nursing to renal failure patients treated with hemodialysis can ameliorate their mental blocks and improve self- protection abilities.更多还原