健康教育联合心理护理对维持性血液透析患者焦虑及抑郁情绪的影响

目的：研究健康教育联合心理护理对维持性血液透析（MHD）患者焦虑及抑郁情绪的影响。方法将我院2009年5月~2013年5月入院接受MHD治疗的100例病患作为观察对象。随机分成两组，观察组给予健康教育联合心里护理干预治疗，对照组仅进行基本护理。比较观察组干预治疗前后以及对照组病患的焦虑及抑郁情况。并分析观察组干预后病患焦虑及抑郁情绪的改善情况。结果观察组治疗后焦虑评分为（49.86±6.52），抑郁评分为（48.86±5.73）。显著低于观察组治疗前的（63.12±9.18），（63.28±9.62）；以及对照组治疗后的（55.13±9.52），（57.18±8.93）。观察组进行健康教育及心理护理干预治疗后，焦虑及抑郁情绪改善率为88.00%，显著高于对照组的46.00%，差异有统计学意义（均P＜0.05）。结论健康教育联合心理护理能有效改善MHD病患的焦虑以及抑郁情绪，值得临床推荐。

Influence of health education and mental nursing on anxiety and depression of maintenance hemodialysis patient

Objective To study the influence of health education and mental nursing on anxiety and depression of Maintenance hemodialysis patient. Methods The total of 100 cases MHD patients in our hospital from May 2009 to May 2013 were randomly divided into two groups, intervented the observation group by health education and mental nursing. Only basic care was on control group. Compared the anxiety and depression of observation group after intervention with before intervention and control group, analyzed the improvement of anxiety and depression of observation group. Results The anxiety score and depression of observation group after intervention （49.86±6.52） and （48.86±5.73） points were significantly lower than that of observation group before （63.12±9.18） and（ 63.28±9.62） points and control group（55.13±9.52） and （57.18±8.93） points.The improvement rate of anxiety and depression of observation group （88.00%） was significantly higher than that of control group （46.00%）. Conclusion Health education and mental nursing intervente desirable a good effect on anxiety and depression of maintenance hemodialysis patient. It is worthy of recommendation.