治疗性沟通在诱导期血液透析患者焦虑中的运用
The effect of therapeutic communication on the anxiety of hemodialysis patients during the induction period
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摘要: 目的：探讨治疗性沟通对诱导期血液透析患者焦虑和对护理工作满意度的影响。方法：选取40例诱导期血液透析伴焦虑患者，分为干预组和对照组各20例。对照组给予常规一般沟通，干预组在常规一般沟通的基础上给予治疗性沟通。调查2组一般人口学特征、社会文化等背景信息，评估2组干预前后的焦虑程度及满意度。结果：干预前2组患者焦虑程度及对护理工作满意度得分差异均无统计学意义（P>0.05）；干预组干预后焦虑程度低于干预前（P<0.01），而对护理工作满意度高于干预前（P<0.01）；对照组干预后焦虑程度降低，而对护理工作满意度较干预前提高（P<0.01）。但干预组干预后焦虑程度低于对照组（P<0.01），对护理工作满意度高于对照组（P<0.01）。结论：治疗性沟通系统能有效地缓解透析患者诱导期焦虑，提升患者对护理工作满意度。Abstract: Objective: To explore the effects of therapeutic communication on the anxiety and nursing satisfaction of hemodialysis patients during the induction period.Methods: Forty hemodialysis patients with anxiety in induction period were divided into the experimental group and control group(20 cases each group).The control group and experimental group were treated with general communication and therapeutic communication based on the general communication,respectively.The demographic characteristics and social culture of two groups were investigated,the levels of anxiety and satisfaction in two groups were evaluated before and after nursing.Results: The differences of the levels of anxiety and satisfaction in two groups were not statistical significance before intervention(P>0.05).The levels of anxiety and satisfaction after intervention in experimental group were lower and higher than those in before intervention,respectively(P<0.01).The levels of anxiety and satisfaction after intervention in control group were lower and higher than those in before intervention,respectively(P<0.01).The levels of anxiety and satisfaction in experimental group after intervention were lower and higher than those in control group,respectively(P<0.01).Conclusions: Therapeutic communication can relieve the anxiety of hemodialysis patients during the induction period,and increase the nursing satisfaction of patients.
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Key words:
- hemodialysis /
- therapeutic communication /
- induction period /
- anxiety
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[1] 马勤, 冯莺, 雷小华, 等.透析前教育对慢性肾衰竭患者身心健康的影响[J].中华护理杂志, 2010, 5(12):1093-1096. [2] 王维利.治疗性沟通系统[M].北京:人民卫生出版社, 2013:20-23. [3] 张云萍, 薛小玲.血液透析患者希望水平与焦虑、抑郁情绪的相关性研究[J].护士进修杂志, 2011, 26(12):1062-1064. [4] 缪玉秀, 陈彩云, 肖小伏, 等.护理人文关怀对维持性血液透析患者焦虑状态的影响[J].护理学杂志, 2010, 25(23):56-58. [5] Cantekin I, Tan M.The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients[J].Ren Fail, 2013, 35(1):105-109. [6] 单岩, 史小艳, 时秋英, 等.诱导期血液透析患者疾病不确定感与身体症状困扰的相关性研究[J].护士进修杂志, 2012, 27(14):1252-1254. [7] Elizabeth A.Interpersonal relationship:professional communication skills for nurses, 6th edition[J].Chicago:Saunders, 2010:29-30. [8] Bossola M, Ciciarelli C, Di Stasio E, et al.Correlates of symptoms of depression and anxiety in chronic hemodialysis patients[J].Gen Hosp Psychiatry, 2010, 32(2):125-131. [9] Kimmel PL, Cukor D, Cohen SD, et al.Depression in end-stage renal disease patients:a critical review[J].Adv Chronic Kidney Dis, 2007, 14(4):328-334. [10] Cukor D, Coplan J, Brown C, et al.Depression and anxiety in urban hemodialysis patients[J].Clin J Am Soc Nephrol, 2007, 2(3):484-490. [11] Cukor D, Coplan J, Brown C, et al.Anxiety disorders in adults treated by hemodialysis:a single-center study[J].Am J Kidney Dis, 2008, 52(1):128-136. [12] 黄燕林, 王明军, 林剑珊, 等.血液透析患者的焦虑抑郁分析[J].护理学报, 2009, 16(5B):68-69. [13] 何丽艳, 杨雪丽, 刘多湘.对维持性血液透析患者焦虑程度的分析与对策[J].护士进修杂志, 2009, 24(5):478-480. [14] 郭燕红, 于晓初, 王圣友, 等.112所医院优质护理服务第三方满意度调查与分析[J].中国护理管理, 2013, 13(5):1-4. [15] 苏茜, 王维利.治疗性沟通系统在消化系统恶性肿瘤患者术前焦虑中的运用[J].中华护理杂志, 2010, 45(10):869-872. -
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