心理干预对急性梗阻性肾功能衰竭患者的影响(1)
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[摘要] 目的:探讨心理护理对急性梗阻性肾功能衰竭患者的影响。方法:80例急性梗阻性肾功能衰竭患者随机分为观察组和对照组,每组40例,对照组给予常规治疗和护理,观察组在此基础上给予心理干预护理措施。干预前后采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行测评,测定并比较两组患者心理焦虑、抑郁状态及血压、心率的变化。结果:观察组心理焦虑、抑郁状态、血压、心率异常程度均明显低于对照组。两组比较,差异有高度统计学意义(P<0.01)。结论:实施心理干预可明显改善患者的心理健康状况,有助于患者的康复。
[关键词] 心理干预;急性梗阻性肾功能衰竭;焦虑自评量表;抑郁自评量表
[中图分类号] R692.5[文献标识码]A [文章编号]1673-7210(2010)05(a)-026-03
Influences of nursing psychological intervention on patients with acute obstructive renal failure
GAO Weiyi, YAN Xuezhen, YANG Haichao, XU Hanbiao
(Department of Urology, Huizhou People's Hospital of Guangdong Province, Huizhou 516002, China)
[Abstract] Objective: To investigate the influences of nursing psychological intervention on the patients of acute obstructive renal failure. Methods: A total of 80 patients with acute obstructive renal failure were randomly divided into observation group and control group, with 40 cases in each group. Normal treatment and nursing were given to the control group, and the psychological intervention were given to the observation group on the basis of normal treatment and nursing. SAS and SDS were used to measure the anxiety and depression status of patients before and after the psychological intervention. Blood pressure and heart rate of patients were monitored before and after the psychological intervention. Results: The degree of the anxiety and depression status and that of blood pressure and heart rate abnormality of observation group were significantly higher than those of control group (P<0.01). Conclusion: Psychological intervention can significantly improve the mental health status of patients to make for recovery from illness.
[Key words] Psychological intervention; Acute obstructive renal failure; SAS; SDS
梗阻所致的急性肾功能衰竭(ARF)是泌尿外科常见的急症之一。一般来说,梗阻于1周内消除,肾功能可望完全恢复,Valey等[1]指出,急性梗阻的患肾功能89%是可逆的,其救治成功的关键是查明梗阻原因,测定梗阻部位,简单、快捷、有效地解除梗阻以恢复肾功能。此病一般通过适当的急诊手术方式来处理,而手术作为一种应激源,常会使患者产生一系列的生理心理反应,若这些反应过于剧烈超出了机体的适应能力或机体的应激反应发生异常,则可造成内环境紊乱,从而造成机体功能的损害[2]。生理功能紊乱则影响手术的顺利进行。因此,对急性梗阻性肾功能衰竭患者进行心理干预有重要意义。我科于2005年5月～2009年8月对40例ARF患者实施心理干预治疗,取得满意疗效,现报道如下:
1 资料与方法
1.1 一般资料
80例均为2005年5月～2009年8月在我院收治的急性梗阻性肾功能衰竭患者,其中,男38例,女42例;年龄20～76岁,平均46岁;无尿时间24～98 h ......
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