Analysis of the effects of targeted psychosocial care on patients undergoing uremic hemodialysis
针对性心理护理对尿毒症血液透析患者的影响分析

摘要

目的 探究尿毒症血液透析患者治疗中针对性心理护理的应用效果。方法 选择研究者医院肾内科提供的样本进行研究，共计80例尿毒症血液透析患者，入院时间2022年1月~2023年12月。随机分2组，数字表法。对照组予以常规护理，观察组则联用针对性心理护理。比较两组血透依从性、并发症发生率以及护理前后负性情绪、睡眠质量得分。结果 观察组血透依从性较对照组高（P<0.05）。观察组并发症发生率较对照组低（P<0.05）。观察组护理后SAS、SDS得分较对照组低（P<0.05）。观察组护理后简化PSQI得分较对照组低（P<0.05）。结论 尿毒症血液透析护理中，针对性心理护理应用效果理想，可改善患者负性情绪，提高其血透依从性，减少相关并发症的发生风险，还可提高其睡眠质量，值得推广。

Abstract

Objective To explore the application effect of targeted psychological nursing in the treatment of uremia hemodialysis patients.
Methods The samples provided by the Department of Nephrology of the investigator hospital were selected for study, including a total of 80 uremic hemodialysis patients, with admission time from January 2022 to December 2023. Randomized into 2 groups, numerical table method. The control group gave routine care, and the observation group used targeted psychological care. Compared with hemodialysis compliance, complication rate and negative mood and sleep quality scores before and after care.
Results The hemodialysis compliance in the observation group was higher than that in the control group (P <0.05). The complication rate was lower in the observed group than in the control group (P <0.05). The scores of SAS and SDS in the observation group were lower compared with the control group (P <0.05). The simplified PSQI score in the observation group was lower than the control group (P <0.05).
Conclusion   In the uremia hemodialysis nursing, targeted psychological nursing has ideal effect, which can improve patients' negative mood, improve their hemodialysis compliance, reduce the risk of related complications, and improve their sleep quality, which is worth promoting.