中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (04): 247-250.doi: 10.3969/j.issn.1671-4091.2018.04.009

• 透析心理学 • 上一篇    下一篇

血液透析患者情绪管理对其生活质量和透析效果的影响

刘燕1,张建林1   

  1. 1.广州军区广州总医院肾脏内科
  • 收稿日期:2017-06-12 修回日期:2018-01-26 出版日期:2018-04-12 发布日期:2018-04-12

The impact of emotional management on the quality of life and dialysis effectiveness in hemodialysis patients

  • Received:2017-06-12 Revised:2018-01-26 Online:2018-04-12 Published:2018-04-12

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摘要： 【摘要】目的探讨情绪管理对规律维持性血液透析患者生活质量和透析效果的影响。方法纳入112 例尿毒症患者，随机分为情绪管理组(58 例)和对照组(54 例)，前者在规律维持性血液透析基础上加以情绪管理，后者仅行规律维持性血液透析治疗，治疗1 月后比较2 组患者的，SF36(SF-36 questionnaire)调查表SF-36 量表评分变化和血肌酐(serum creatinine,Scr)、血尿素氮(blood urea nitrogen,BUN)、β2-微球蛋白(β2-microglobulin, β2-MG)的下降率和尿素清除指数(Kt/V)的差异。结果治疗后，2 组患者的躯体健康(t=2.892, P=0.042；t=2.652, P=0.048)、精力(t=3.832, P=0.032；t=3.536, P=0.035)、总体健康(t=3.685, P=0.034；t=3.362, P=0.036)和总分(t=3.754，P=0.033；t=3.625，P=0.034都较治疗前明显提高，而心理健康只在情绪管理组有显著提高(t=3.568,P=0.035)。治疗后，情绪管理组的心理健康(t=3.0368,P=0.03)和精力(t=2.658,P=0.048)显著高于对照组；情绪管理组的β2-MG 下降率显著高于对照组(t=2.228,P=0.024)。结论情绪管理可改善规律维持性血液透析患者的生活质量，尤其是在心理健康和精力方面，此外它对提供透析效果也有潜在的效果，临床可加以应用。

关键词: 规律维持性血液透析, 情绪管理, 生活质量, 透析效果

Abstract: 【Abstract】Objective To explore the impact of emotional management on the quality of life and dialysis effectiveness in hemodialysis patients. Method A total of 112 patients with uremia were randomly divided into emotional management group (58 cases) and control group (54 cases). The former was treated with emotional management in addition to maintenance hemodialysis, while the latter was treated with maintenance hemodialysis only. After one month, the changes of SF-36 scale in SF36 (questionnaire SF36), serum creatinine (Scr), blood urea nitrogen (BUN), β2-microglobulin (β2-MG) and urea clearance index (Kt/V) were compared between the two groups. Results After the treatment, physical fitness (t=2.892, P=0.042; t=2.652, P=0.048), energy (t=3.832, P=0.032; t=3.536, P=0.035), total health (t=3.685, P=0.034; t=3.362, P=0.036) and total score (t=3.754, P=0.033; t=3.625, P=0.034) were significantly higher than before treatment in both groups. Psychological health increased only in emotional management group (t=3.568, P=0.035). The scores of psychological health (t=3.0368, P=0.03) and energy (t=2.658, P=0.048) were significantly higher in emotional management group than in control group. β2-MG decreased more in emotional management group than in control group (t=2.228, P=0.024). Conclusion Emotional management can improve the quality of life in hemodialysis patients, especially in terms of mental health and energy. It also has the potential value to improve dialysis efficiency. Therefore, emotional management can be used in clinical practice.

Key words: hemodialysis, emotional management, quality of life, dialysis effectiveness