维持性血液透析尿毒症患者心理干预护理体会.docVIP

维持性血液透析尿毒症患者心理干预护理体会【摘要】 目的 探讨维持性血液透析(MHD)患者的心理干预护理措施,并与未接受心理干预护理的尿毒症患者心理反应进行对比,从而为减轻尿毒症患者的心理负担,提高患者的治疗效果及生活质量提供依据。方法 对2009年1月至2009年12月在我院接受维持性血液透析的310例尿毒症患者心理状况进行问卷调查,并对血液透析患者心理干预护理和未进行心理干预护理各155例进行心理反应比对分析。结果 维持性血液透析尿毒症患者接受心理干预护理者的不良心理反应明显少于未接受心理干预护理者,前者能积极主动配合护理工作,获得了较好的透析效果。结论 良好的心理干预护理可帮助患者学会自我心理疏导,克服消极心理,增强战胜疾病的信心,延长了患者生命,提高了生活质量。 【关键词】尿毒症; 血液透析; 心理干预; 护理 The care experience of psychological intervention for uremia patients with maintenance hemodialysis WU Peng,CHEN Jia-jia,LI yi-lei,et al.Department of respiratory medicine,People’s Hospital of Rizhao,Rizhao 276826,China 【Abstract】 Objective To investigate the psychological intervention care measures for patients with maintenance hemodialysis,and compare with psychological reaction of patients who cant accept psychological intervention care to afford evidences for lightening the their psychological burden and improving quality of life.Methods Research the psychology of the 310 cases of dialysis patients from January to December,2009 in our hospital through questionnaire,and compare the psychological reaction of 155 cases who accept psychological intervention care with the psychological reaction of the others who can?t accept.Results The bad psychological reaction of the patients who accept psychological intervention care is significantly less than the one who can’t accept,and the formers cooperate with treatment and obtain good effect.Conclusion Good psychological intervention care helps patients learn self-psychological counseling to overcome the negative psychology,enhance the confidence,to overcome the disease,prolong life and improve the quality of life. 【Key words】 Uremia; Hmodialysis; Psychologicalintervention; Nursing 尿毒症是一种不可逆的疾病,血液透析(MHD)是尿毒症患者治疗的其中一种肾脏替代疗法,需要不间断地进行,患者依赖透析生存不得不面对很多与治疗有关的压力,以及血液透析的不良反应及并发症的发生,给尿毒症患者带来了生理、心理及社会适应能力等方面的影响,加上对疾病相关知识的缺乏和对医务人员的不信任[1],令许多接受血液透析的尿毒症患者产生焦虑、恐惧、自责、抗拒等心理[2],常被有些患者视为第二癌症,并产生轻生念头[3,4]。为了减轻患者的不良心理反应,使其正确认识尿毒症和血液透析治疗,主动配合治疗,减少并发症的发生,提高疗效,为此我们选取我院