内外交互集成式心理护理对ESRD维持性血液透析患者CSQ评分的改善评价
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龚涵，李惠
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新疆医科大学第七附属医院，新疆乌鲁木齐，830000
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摘要：目的 探讨ESRD 维持性血液透析患者在内外交互集成式心理护理干预后，患者应对方式（CSQ）评分的变化。方法 抽取本院140 例终末期肾病患者参与研究，病患均采取维持性血液透析治疗，病例收集时段为2023 年3 月至2024 年3 月，行“随机抽签法”予以对照组、观察组分组，各组人数均衡70 例。维持性血液透析治疗期间，对照组采取常规护理模式，观察组在上组护理基础上结合内外交互集成式心理护理，对比两组护理前后的应对方式评分及透析安全性。结果 护理前，由应对方式问卷（CSQ）得出两组结果相近，差异不具有统计学意义（P>0.05）；护理后，观察组6 个维度得分均更低于对照组，差异具有统计学意义（P<0.05）。护理期间，观察组不良事件发生率均更低于对照组，差异具有统计学意义（P<0.05）。结论 将内外交互集成式心理护理辅助用于终末期肾病患者维持性血液透析治疗中，能有效改善患者面对疾病的应对方式，进一步提升血液透析治疗的安全性。
关健词：内外交互集成式心理护理；ESRD；维持性血液透析；应对方式
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Evaluation of the Improvement in CSQ Scores by Internal-External Interactive Integrated Psychological Nursing in ESRD Patients Undergoing Maintenance Hemodialysis
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Han Gong,Hui Li
The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang 830000, China
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Abstract：Objective To investigate the changes in Coping Style Questionnaire (CSQ) scores among End-Stage Renal Disease (ESRD) patients undergoing maintenance hemodialysis after receiving Internal-External Interactive Integrated Psychological Nursing intervention.Methods A total of 140 ESRD patients treated with maintenance hemodialysis at our hospital were enrolled from March 2023 to March 2024. Participants were randomly allocated into a control group and an observation group using the lottery method, with 70 patients in each group. During hemodialysis treatment, the control group received routine nursing care, while the observation group received Internal-External Interactive Integrated Psychological Nursing in addition to the routine care. The CSQ scores and hemodialysis safety were compared between the two groups before and after the intervention.Results Before the intervention, CSQ scores were similar between the two groups, with no statistically significant difference (P>0.05). After the intervention, the observation group exhibited significantly lower scores across all six dimensions of the CSQ compared to the control group (P<0.05). During the nursing period, the incidence of adverse events was significantly lower in the observation group than in the control group (P<0.05).Conclusion The application of Internal-External Interactive Integrated Psychological Nursing as an adjunctive therapy for ESRD patients undergoing maintenance hemodialysis effectively improves their coping styles toward the disease and further enhances the safety of hemodialysis treatment.
Keywords : Internal-External Interactive Integrated Psychological Nursing; ESRD; Maintenance Hemodialysis; Coping Style
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