家庭随访对老年腹膜透析患者心理障碍的影响

目的探讨家庭随访对老年腹膜透析患者心理健康的影响。方法将由专职腹透护士定期进行家庭随访的50例年龄≥63岁、透龄≥4个月的老年患者设为干预组，将未进行家庭随访的42例年龄≥65岁、透龄≥4个月的老年患者设为对照组。比较自患者出院后至6个月时的焦虑、抑郁、情感指数及生活满意度、兴趣、生存欲望、睡眠质量的评分。结果6个月后，干预组的焦虑评分为（49．7±3．8）分，抑郁评分为（45．6±4.2）分，明显低于对照组（P=0．02、P=0．001）。干预组的情感指数为（9．3±1．8），生活满意度评分为（9．8±1．6）分，较对照组高（P=0．001、P=0．005）。就兴趣及生存欲望而言，干预组的兴趣评分为（60．5±3．8）分，生存欲望评分为（78．9±5．8）分，高于对照组（P=0．04、P=0．02）。干预组的睡眠质量评分为（30．6±4．8）分，也高于对照组（P=0．002）。结论家庭随访对老年腹透患者的心理健康有较好的作用，能促使患者建立正确的心理防御机制，从而保证其生活质量的提高。

Effect of home follow-up on mental disorders in elderly patients with peritoneal dialysis

Objective To explore the effect of home follow-up on mental health in elderly patients with peritoneal dialysis. Methods Fifty elderly patients with 63 years of age or older and more than or equal to 4 months of peritoneal dialysis time served by full-time peritoneal dialysis nurses were set as the intervention group, while forty-two elderly patients with 65 years of age or older and more than or equal to 4 months of peritoneal dialysis time given no the home follow-up were set as the control group. The score of anxiety, depression, sentiment index, life satisfaction, interest, desire of survival and sleep quality of patients in the two groups were compared in 6 months after discharge. Results After 6 months, the anxiety score and depression score in the intervention group（49.7±3.8, 45.6±4.2 respectively） were significantly lower than those in the control group（P = 0.02, P = 0.001 respeetively）; The sentiment index and life sat- isfaction score in the intervention group（9.3±l.8, 9.8±1.6 respectively） were higher than those in the control group（P = 0.001, P = 0.005 respectively）; The interest score and desire of survival score in the intervention group （60.5±3.8, 78.9±5.8 respectively） were higher than those in the control group （P = 0.04, P = 0.02 respectively）; And, the sleep quality score in the intervention group （30.6±4.8） was also higher than that in the control group（P = 0.002）. Conclu- sion The home follow-up on mental health in elderly patients with peritoneal dialysis plays a better role, and can pro- mote the patients to establish correct psychological defense mechanisms, so as to ensure the improvement of quality of life.