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目的探讨在维持性血液透析(MHD)患者中开展全程无缝隙护理模式对其情绪障碍及生活质量的影响。方法选取2015年3月~2016年3月我院接受MHD治疗患者84例,随机分为观察组与对照组,42例每组。对照组施行常规护理模式,观察组从医院至家庭施行全程无缝隙护理模式。分别于护理前及护理3个月后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组的情绪状况,采用简明健康量表(SF-36)评价生活质量,统计并比较两组的并发症发生率。结果护理后3个月,观察组的SAS、SDS评分显著低于对照组(P<0.05);护理后3个月观察组的SF-36量表各维度评分均显著高于对照组(P<0.05);观察组并发症发生率为4.76%,显著低于对照组的30.95%(P<0.05)。结论在MHD患者中应用全程无缝隙护理模式能够改善患者的情绪障碍并提高其生活质量,降低并发症发生率。
Objective To investigate the effect of full seamless nursing model on mood disorders and quality of life in patients with maintenance hemodialysis (MHD). Methods From March 2015 to March 2016, 84 patients receiving MHD in our hospital were randomly divided into observation group and control group, and 42 patients in each group. The control group administered conventional nursing mode, the observation group from the hospital to the family to implement the whole seamless nursing mode. The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) were used to evaluate the emotional status of the two groups before and three months after nursing. The quality of life was evaluated by the simple health scale (SF-36) Statistics and comparisons of complication rates between the two groups. Results At 3 months after nursing, the scores of SAS and SDS in the observation group were significantly lower than those in the control group (P <0.05). The scores of SF-36 in the observation group at 3 months after nursing were significantly higher than those in the control group (P < 0.05). The complication rate in observation group was 4.76%, which was significantly lower than that in control group (30.95%, P <0.05). Conclusion The application of full seamless nursing model in patients with MHD can improve patients' mood disorders and improve their quality of life, and reduce the incidence of complications.