【摘要】 目的 互动达标理论在慢性肾病维持性血液透析(MHD)患者心理护理中的应用及对情绪、睡眠质量的影响分析。方法 选取54例本院于2017年1月～2021年11月收治的慢性肾病MHD患者，根据随机数字表法分为对照组与观察组，每组27例，对照组采用常规护理，观察组联合互动达标理论护理干预，对比两组情绪状态、睡眠质量、依从性、心理弹性状况、生活质量评分以及并发症发生情况。正态计量资料采用 t 检验，计数资料采用 x~2 检验。结果 护理前，焦虑自评量表(SAS)、抑郁自评量表(SDS)评分组间比较无显著差异(P>0.05)；护理后，观察组两项评分均显著低于对照组(P<0.05)。护理前，匹兹堡睡眠质量指数(PSQI)、依从性评分组间比较无显著差异(P>0.05)；护理后，两组比较，观察组PSQI显著低于对照组，依从性显著高于对照组(P<0.05)。护理前，心理弹性状况评分组间比较无显著差异(P>0.05)；护理后，两组比较，观察组心理弹性状况各评分均显著高于对照组(P<0.05)。护理前，生活质量评分组间对比无显著差异(P>0.05)；护理后，两组比较，观察组评分显著高于对照组(P<0.05)。两组并发症发生率比较，观察组显著低于对照组(P<0.05)。结论 对慢性肾病MHD患者采用互动达标理论护理，可改善患者情绪与睡眠质量，提高生活质量。更多还原

【Abstract】 Objective To analyze the application of interactive standard theory in psychological nursing of chronic kidney disease patients undergoing maintenance hemodialysis (MHD) and its influence on mood and sleep quality.Methods 54 cases of chronic kidney disease patients with MHD admitted to our hospital from January 2017 to November 2021 were selected and divided into control group and observation group according to random number table method,27 cases in each group.The control group received routine nursing,and the observation group combined with interactive standard theoretical nursing intervention.Emotional state,sleep quality,compliance,mental resilience,quality of life score and incidence of complications were compared between the two groups.The t test was used for normal measurement data and x~2 test was used for counting data.Results Before nursing,there was no significant difference between groups of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) (P>0.05).After nursing,the scores of observation group were significantly lower than control group (P<0.05).Before nursing,there were no significant differences in Pittsburgh sleep quality index (PSQI) and compliance assessment among groups (P>0.05).After nursing,PSQI of observation group was significantly lower than control group,and compliance was significantly higher than control group (P<0.05).Before nursing,there was no significant difference in mental resilience between groups (P>0.05).After nursing,the scores of mental resilience in observation group were significantly higher than those in control group (P<0.05).Before nursing,there was no significant difference in quality of life among groups (P>0.05).After nursing,the score of observation group was significantly higher than that of control group (P<0.05).The complication rate of observation group was significantly lower than that of control group (P<0.05).Conclusion Using interactive standard theory nursing for chronic kidney disease patients with MHD can improve their mood and sleep quality,and improve the quality of life.更多还原