中医情志护理对初期血液透析患者负性情绪、生活质量及免疫功能的影响
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R473.5

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Effect of Chinese Medicine Emotional Nursing on Negative Emotions, Quality of life and Immune Function in Patients with Initial Hemodialysis
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    摘要:

    目的:观察中医情志护理对初期血液透析患者免疫功能、生活质量以及负性情绪的影响。方法:选取初期血液透析患者98 例,按随机数字表法分为观察组和对照组各49 例。对照组给予常规护理,观察组给予中医情志护理。比较2 组护理前后免疫球蛋白(IgM、IgG、IgA) 以及T 淋巴细胞亚群(CD8+、CD4+) 水平,采用WHOQOL-100 生存质量测定量表对患者的生活质量进行评定,采用抑郁自评量表(SDS) 以及焦虑自评量表(SAS) 对患者的负性情绪进行评定。结果:护理前,2 组IgM、IgG 及IgA 水平比较,差异无统计学意义(P>0.05)。护理后,2 组IgM、IgG 及IgA 水平较护理前升高,且观察组IgM、IgG 及IgA 水平高于对照组,差异均有统计学意义(P<0.05)。护理前,2 组CD8+、CD4+水平比较,差异无统计学意义(P>0.05)。护理后,观察组CD8+水平低于护理前和对照组,CD4+水平高于护理前和对照组(P<0.05);对照组CD4+水平高于护理前(P<0.05)。护理前,2 组SDS 及SAS 评分比较,差异无统计学意义(P>0.05)。护理后,2 组SDS 及SAS 评分较护理前降低,且观察组SDS 及SAS 评分低于对照组,差异均有统计学意义(P<0.05)。护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:中医情志护理可有效提高初期血液透析患者免疫功能,改善生活质量以及负性情绪,有较高的临床应用价值。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese medicine emotional nursing on negative emotions,quality of life and immune function in patients with initial hemodialysis. Methods:A total of 98 cases of patients with initial hemodialysis were divided into the observation group and the control group according to the random number table method,49 cases in each group. The control group was given routine nursing,and the observation group was given Chinese medicine emotional nursing. Before and after nursing,the levels of immunoglobulin including IgM,IgG and IgA as well as T lymphocyte subsets including CD8+ and CD4+ in the two groups were compared;quality of life was evaluated by World Health Organization Quality of Life assessment(WHOQOL- 100); negative emotions were assessed by Self- rating Depression Scale(SDS) and Selfrating Anxiety Scale(SAS). Results: Before nursing, there was no significant difference being found in the comparison of levels of IgM, IgG and IgA between the two groups(P>0.05). After nursing, the levels of IgM, IgG and IgA in the two groups were increased when compared with those before treatment, and the levels in the observation group were higher than those in the control group,differences being significant(P<0.05). Before nursing,there was no significant difference being found in the comparison of levels of CD8+ and CD4+ between the two groups(P>0.05). After nursing,the level of CD8+ in the observation group was lower than that before nursing and that in the control group, and the level of CD4 + in the observation group was higher than that before nursing and that in the control group(P<0.05),and the level of CD4 + in the control group was higher than that before nursing(P<0.05). Before nursing,there was no significant difference being found in the comparison of scores of SDS and SAS between the two groups(P>0.05). After nursing,the scores of SDS and SAS in the two groups were decreased when compared with those before nursing,and the scores in the observation group were lower than those in the control group, differences being significant(P<0.05). After nursing, the score of quality of life in the observation group was higher than that in the control group,the difference being significant(P<0.05). Conclusion:Chinese medicine emotional nursing can effectively improve immune function,quality of life and negative emotions in patients with initial hemodialysis with high clinical values.

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姜建女,方灵燕,王利利.中医情志护理对初期血液透析患者负性情绪、生活质量及免疫功能的影响[J].新中医,2021,53(9):147-150

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  • 在线发布日期: 2021-05-12
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