Strengthen the application effect of health education combined with psychological care in maintenance hemodialysis patients
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

摘要

目的 分析持续性血液透析患者实施强化健康教育与心理护理的应用价值。方法 选取在我院接受维持性血液透析者72例，所有患者治疗时间为2024年7月~2025年1月，通过随机分组的方式分为两组，其中36例为观察组，接受强化健康教育联合心理护理，另36例对照组，接受常规护理。采用焦虑自评量表（SAS）评分和抑郁自评量表（SDS）评分，对比不同护理方法对负面情绪的影响，比较两组健康知识掌握情况，记录护理满意度。结果 护理前，两组患者情绪评分比较（P>0.05）；护理后，观察组SDS、SAS评分下降更明显，与对照组比较，差异有统计学意义（P<0.05）。观察组健康知识掌握度各维度评分明显高于对照组，有统计学意义（P<0.05）。组间护理满意度比较（P<0.05）。结论 对血液透析患者而言，心理护理是改善负面情绪的关键，将其与强化健康教育联用可提升患者治疗积极性，值得在临床上进一步推广使用。

Abstract

Objective To analyze the application value of implementing intensive health education and psychological care for patients undergoing continuous hemodialysis.
Methods A total of 72 patients who received maintenance hemodialysis in our hospital were selected. The treatment period for all patients was from July 2024 to January 2025. They were randomly divided into two groups. Among them, 36 cases were in the observation group who received intensive health education combined with psychological care, and the other 36 cases were in the control group who received routine care. The Self-Rating Anxiety Scale (SAS) score and the Self-Rating Depression Scale (SDS) score were used to compare the effects of different nursing methods on negative emotions. The mastery of health knowledge between the two groups was compared, and the satisfaction with nursing was recorded.
Results Before the nursing care, the emotional scores of the two groups of patients were compared (P>0.05); After the nursing care, the SDS and SAS scores of the observation group decreased more significantly. Compared with the control group, the difference was statistically significant (P<0.05). The scores of each dimension of health knowledge mastery in the observation group were significantly higher than those in the control group, which was statistically significant (P<0.05). Comparison of nursing satisfaction between groups (p<0.05).
Conclusion   For hemodialysis patients, psychological care is the key to improving negative emotions. Its combination with strengthened health education can enhance patients’ enthusiasm for treatment and is worthy of further promotion and application in clinical practice.