心理护理干预对维持性血液透析患者睡眠质量和满意度的影响(1)
摘要 目的：探讨心理护理干预对维持性血液透析患者提高睡眠质量和满意度的影响。方法：选取2017年5月至2019年2月厦门大学附属第一医院杏林分院收治的维持性血液透析患者70例作为研究对象，随机分为对照组和观察组，每组35例。对照组进行常规护理，观察组在常规护理基础上实施心理护理干预，观察2组的睡眠质量和满意度。结果：观察组的各项睡眠质量指标评分均低于对照组，差异有统计学意义(P<0.05)，观察组透析患者满意度(94.29%)高于对照组(74.29%)，差异有统计学意义(P<0.05)。结论：心理护理干预可改善维持性血液透析患者的心理压力，从而提高其睡眠质量及对护理的满意度。
关键词 血液透析;心理护理;满意度;睡眠质量
Effect of Psychological Nursing Intervention on Sleep Quality and Satisfaction of Maintenance Hemodialysis Patients
Lin Xiuzhen
(Xinglin branch，the first affiliated hospital of xiamen university，Xiamen 361000，China)
Abstract Objective：To explore the effect of psychological nursing intervention on sleep quality and satisfaction of maintenance hemodialysis patients.Methods：A totoal of 70 maintenance hemodialysis patients admitted to xinglin branch of the first affiliated hospital of xiamen university from May 2017 to February 2019 were randomly divided into the control group and the observation group，with 35 patients in each group.The control group was given routine nursing，the observation group was given psychological nursing intervention on the basis of routine nursing，and the sleep quality and satisfaction of the two groups were observed.Results：scores of various sleep quality indexes in the observation group were lower than those in the control group，with statistically significant difference(P<0.05).Satisfaction of dialysis patients in the observation group(94.29%)was higher than that in the control group(74.29%)，with statistically significant difference(P<0.05).Conclusion：psychological nursing intervention can improve the psychological pressure of maintenance hemodialysis patients，so as to improve their sleep quality and nursing satisfaction.
Key Words Hemodialysis; Psychological nursing; Satisfaction; The quality of sleep
中圖分类号：R541.6;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.09.030
血液透析是最常用的肾脏替代治疗方法之一，也可用于治疗药物或毒物中毒等[1]。血液透析治疗时间较长，终末期肾脏病导致的各种失调、血液透析的并发症、透析费用昂贵、饮食习惯的改变、生活节奏的变化等均会直接影响患者的生理、心理状态，影响其治疗效果、信心以及生命质量[2]。患者常会出现较为严重的心理问题，表现为恐惧、紧张、焦虑、抑郁等不良心理，严重影响到患者的睡眠情况，也使患者对护理满意度降低[3]。本次研究针对维持性血液透析患者的心理问题采取针对性的心理护理，取得良好的效果，现将结果报道如下。
1 资料与方法
1.1 一般资料 选取2017年5月至2019年2月厦门大学附属第一医院杏林分院收治的维持性血液透析患者70例作为研究对象，随机分为对照组和观察组，每组35例。对照组中男20例，女15例，年龄26～85岁，平均年龄(47.63±8.34)岁。观察组中男17例，女18例，年龄25～83岁，平均年龄(47.63±8.34)岁。2组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)维持性血液透析患者;2)近6个月内未使用镇静催眠药物类;3)神志清楚，可正常交流;4)知情同意，主动配合研究工作。, 百拇医药(林秀贞)
关键词 血液透析;心理护理;满意度;睡眠质量
Effect of Psychological Nursing Intervention on Sleep Quality and Satisfaction of Maintenance Hemodialysis Patients
Lin Xiuzhen
(Xinglin branch，the first affiliated hospital of xiamen university，Xiamen 361000，China)
Abstract Objective：To explore the effect of psychological nursing intervention on sleep quality and satisfaction of maintenance hemodialysis patients.Methods：A totoal of 70 maintenance hemodialysis patients admitted to xinglin branch of the first affiliated hospital of xiamen university from May 2017 to February 2019 were randomly divided into the control group and the observation group，with 35 patients in each group.The control group was given routine nursing，the observation group was given psychological nursing intervention on the basis of routine nursing，and the sleep quality and satisfaction of the two groups were observed.Results：scores of various sleep quality indexes in the observation group were lower than those in the control group，with statistically significant difference(P<0.05).Satisfaction of dialysis patients in the observation group(94.29%)was higher than that in the control group(74.29%)，with statistically significant difference(P<0.05).Conclusion：psychological nursing intervention can improve the psychological pressure of maintenance hemodialysis patients，so as to improve their sleep quality and nursing satisfaction.
Key Words Hemodialysis; Psychological nursing; Satisfaction; The quality of sleep
中圖分类号：R541.6;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2019.09.030
血液透析是最常用的肾脏替代治疗方法之一，也可用于治疗药物或毒物中毒等[1]。血液透析治疗时间较长，终末期肾脏病导致的各种失调、血液透析的并发症、透析费用昂贵、饮食习惯的改变、生活节奏的变化等均会直接影响患者的生理、心理状态，影响其治疗效果、信心以及生命质量[2]。患者常会出现较为严重的心理问题，表现为恐惧、紧张、焦虑、抑郁等不良心理，严重影响到患者的睡眠情况，也使患者对护理满意度降低[3]。本次研究针对维持性血液透析患者的心理问题采取针对性的心理护理，取得良好的效果，现将结果报道如下。
1 资料与方法
1.1 一般资料 选取2017年5月至2019年2月厦门大学附属第一医院杏林分院收治的维持性血液透析患者70例作为研究对象，随机分为对照组和观察组，每组35例。对照组中男20例，女15例，年龄26～85岁，平均年龄(47.63±8.34)岁。观察组中男17例，女18例，年龄25～83岁，平均年龄(47.63±8.34)岁。2组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)维持性血液透析患者;2)近6个月内未使用镇静催眠药物类;3)神志清楚，可正常交流;4)知情同意，主动配合研究工作。, 百拇医药(林秀贞)