治疗性沟通在诱导期血液透析患者焦虑中的运用

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。

The effect of therapeutic communication on the anxiety of hemodialysis patients during the induction period

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.