摘要：目的：探讨心理干预对闭合性肾损伤病人预后的影响。方法：将80例外伤性闭合性肾损伤(符合保守治疗条件)患者随机分成两组，观察组和对照组各40例；观察组在治疗期间针对患者存在的心理问题进行针对性心理干预，对照组按常规护理。对比两组病人在应对出血、疼痛、发热等并发症及疾病预后等方面的差异。结果：肾损伤保守治疗过程中能有效应对疼痛、发热等并发症的病例，观察组38例，对照组22例，观察组明显高于对照组(P<0.01)；非手术治疗失败病例，观察组8例，对照组18例，观察组明显低于对照组(P<0.01)。 结论：外伤性闭合性肾损伤治疗期间进行心理干预能有效应对出血、疼痛等并发症的发生，提高保守治疗的成功率。

    关键词：心理干预；肾损伤；护理

    Effect of Psychological Intervention on the Patients with Close Renal Injury

    LI Lin-fen, LIN Ying-lian

    (The Second Affiliated Hospital of Shantou University Medical College, Guangdong Shantou 515041,China)

    Abstract:Objective: To explore the effect of phsychological intervention on the complications and prognosis of the patients with close renal injury. Method: 80 cases of the patients with close renal injury were randomly divided into intervention and control groups. For the former psychological intervention was performed, aiming at the psychological problems of the patients, and the latter accepted routine nursing. The complications such as hemorrhage, pain and fever, and the prognosis between these two groups were compared. Result: 38 cases of the patients accepting the intervention could effectively responded to the complications, in contrast with 22 cases of the control, the difference was significant (P<0.01). Furthermore, for the former only 8 cases failed in the conservative treatment, but 18 for the latter. (P<0.01). Conclusion： Psychological intervention could effectively responded to the complications and improve the success rate of the conservative treatment. ......