摘要
目的:探讨基于患方反馈的持续改进护理干预对血液透析患者睡眠质量、负性情绪的影响。方法:选取2018年10月—2019年10月于郑州市第三人民医院就诊治的72例血液透析患者为研究对象,根据随机数表法分为对照组和观察组,每组各36例,对照组采取常规护理干预,观察组采取基于患方反馈的持续改进护理干预。观察两组患者治疗前后焦虑抑郁等负性情绪、睡眠质量,比较两组患者治疗依从性以及干预后两组家属对相关健康知识的认知和及格率。结果:护理后两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、匹兹堡睡眠指数量表(PSQI)、爱泼沃斯嗜睡量表(ESS)评分均下降,且观察组评分下降更显著(P<0.05);观察组治疗依从性、患者家属对相关健康知识的认知和及格率均优于对照组(P<0.05)。结论:基于患方反馈的持续改进护理干预能够缓解血液透析患者焦虑、抑郁等负性情绪,有利于提高患者的睡眠质量和治疗依从性,还有利于提高患者家属对疾病的认知。
Objective:To explore the effect of continuous improvement nursing intervention based on patient feedback on sleep quality and negative emotions of hemodialysis patients.Methods:72 cases of hemodialysis patients diagnosed and treated in the hospital from October 2018 to October 2019 were selected as the research objects,and they were divided into the control group and the observation group according to random number table method,with 36 cases in each group.The control group was given routine nursing intervention,and the observation group was given continuous improvement nursing intervention based on patient feedback.The negative emotions such as anxiety and depression,sleep quality of the two groups were observed before and after treatment,and the treatment compliance of the two groups of patients and the cognition and pass rate of the family members of the two groups on the related health knowledge after the intervention were compared.Results:After nursing,the SAS and SDS scores of the two groups decreased,and the SAS and SDS scores of the observation group decreased more significantly(P<0.05).After treatment,PSQI score and ESS score of the two groups decreased compared with those before treatment,and the PSQI score and ESS score of the observation group decreased more significantly(P<0.05).The treatment compliance,awareness of related health knowledge and pass rate of the observation group were better than those of the control group(P<0.05).Conclusion:Continuous improvement of nursing intervention based on patient feedback can alleviate the negative emotions of hemodialysis patients,such as anxiety and depression,which is conducive to improving the sleep quality and treatment compliance of patients,and improving the cognition of patients’families to the disease.
作者
穆香君
MU Xiang-jun(The Third Peepie's Hospital of Zhengzhou,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2021年第8期857-859,共3页
Heilongjiang Medical Journal
关键词
以患方反馈为基础
持续改进护理
血液透析
睡眠质量
负性情绪
Based on patient’s feedback
Continuous improvement of nursing
Hemodialysis
Sleep quality
Negative emotions
