人文关怀对居家腹膜透析病人生存质量的影响

目的探讨对社区腹膜透析病人实施人文关怀,提高依从性后对其生存质量的影响。方法将100名腹膜透析病人按手术序号的单号和双号随机分为两组,实验组50名病人在常规护理的基础上加强人文关怀,对照组50名病人仅接受常规护理,即出院后不进行社区随访,要求病人每1~2个月来医院复诊1次,复诊时进行健康教育,检查病人对导管出口处的护理情况。结果加强人文关怀后,实验组病人抑郁、焦虑情绪明显减轻,遵医行为提高,并发症减少,存活率及生活质量高于对照组,差异具有统计学意义(P<0.05)。结论对居家腹膜透析病人实施人文关怀干预后,其住院率、死亡率明显降低,改善了病人的生存质量。

The effect of humanistic care on the quality of life in patients with peritoneal dialysis at home

Objective To evaluate the effect of humanistic care on the quality of life in community patients with peritoneal dialysis at home.Methods 100 patients with peritoneal analysis were divided into two groups based on the hospitalization number.Humanistic care with routine nursing were provided for the patients in experiment group,while the patients in control group only received routine nursing,and went to hospital for health check and health education once a month or two months.Results Compared with the control group,the patients in experiment group showed significant lower level of depression and anxiety,higher compliance,less complications,higher rate of survival and higher level of quality of life(P<0.05).Conclusion Humanistic care could reduce the rate of re-hospitalization and mortality,and improve the quality of life in patients with peritoneal dialysis at home.