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血液净化治疗海洛因依赖者的心理应激反应及护理干预研究
引用本文:黄雪芳,练桂英,李燕,温振英,叶燕,孔耀中,肖观清,吴碧红.血液净化治疗海洛因依赖者的心理应激反应及护理干预研究[J].广州医药,2011,42(2):7-10.
作者姓名:黄雪芳  练桂英  李燕  温振英  叶燕  孔耀中  肖观清  吴碧红
作者单位:广东省佛山市第一人民医院肾内科血液净化中心,528000
基金项目:广东省佛山市卫生局医学科研项目
摘    要:目的观察血液净化治疗(血液灌流HP串联血液透析+HD)海洛因依赖者的心理应激反应的特殊性,探讨护理干预应用于其中的实施效果.方法 观察自愿接受血液净化(血液灌流串联血液透析)戒毒者27例,采取认知干预、心理干预、行为矫正、家庭与社区干预等各种护理干预措施,并采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁...

关 键 词:血液净化  海洛因依赖者  应激反应  护理干预

Investigation of psychological stress reaction and nursing intervention of heroin addicts treated with blood purification
Institution:Huang Xuefang,Lian Guiying,Li Yan,et al.Blood Purification Center,the First People’s Hospital of Foshan,Foshan 528000,China
Abstract:Objective To observe the specialty of psychological stress reaction of heroin addicts treated with blood purification(HP+HD) and explore the effect of nursing intervention on them.Methods Observation has been made on 27 drug abusers who are under detoxification and willing to accept blood purification therapy,which is Blood Perfusion Series Dialysis.And various nursing intervention has been adopted such as cognitive intervention,psychological intervention,behavior modification,family and community intervention.Effect evaluation has also been made through SCL-90,SAS,SDS and OWS.Meanwhile,to monitor the heart rate,blood pressure,blood glucose,norepinephrine,and dopamine concentration in the course of treatment,and supervise the effective time for blood flow during blood purification.Results There is statistically significant difference before and after the treatment based on the evaluation scores of SCL-90,SAS and OWS,heart rate,blood pressure and blood flow in the course of the treatment(P <0.05),but no significant differences in blood glucose,norepinephrine,dopamine concentration and SDS scores(P> 0.05).Conclusion Integrated care intervention can improve heroin addicts’ psychological stress reaction capacity,their negative emotions,psychological barriers and their mental health,which plays great roles in the prevention of the heroin addicts from relapse and maintenance on the integrity.
Keywords:Blood Purification  Heroin Addicts  Stress Reaction  Nursing Intervention
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