优质护理联合心理干预在慢性肾衰竭血液透析患者中的应用疗效分析
Efficacy Analysis of High-Quality Nursing Combined with Psychological Intervention in Patients with Chronic Renal Failure Undergoing Hemodialysis

背景：慢性肾衰竭(CRF)患者常伴有不同程度的心理问题，如焦虑、抑郁等，这些心理问题会影响患者的生活质量和治疗效果。血液透析是CRF患者的主要治疗手段，但透析过程本身也会给患者带来一定的心理压力。优质护理联合心理干预旨在改善CRF血液透析患者的心理状态，提高其生活质量。目的：探讨优质护理联合心理干预对慢性肾衰竭血液透析患者心理状态、生活质量和临床指标的影响。方法：采用回顾性研究方法，纳入新疆医科大学第六附属医院血液透析科从2020年1月至2024年12月在我院接受血液透析治疗的CRF患者100例，根据是否接受优质护理联合心理干预分为对照组(n = 50)和观察组(n = 50)比较两组患者进行联合护理治疗的心理状态(采用焦虑自评量表SAS和抑郁自评量表SDS评估)、生活质量(采用SF-36量表评估)以及临床指标(包括血肌酐、尿素氮、血红蛋白、白蛋白、尿素清除率、内生肌酐清除率等)。结果：两组患者的两组患者的SAS和SDS评分、SF-36生活质量评分、血肌酐、尿素氮、尿素清除率、内生肌酐清除率等临床指标比较，有显著性差异，差异有统计学意义(P < 0.05)，而血红蛋白和白蛋白水平(P > 0.05)，没有显著性差异，差异无统计学意义。结论：优质护理联合心理干预可有效改善慢性肾衰竭血液透析患者的心理状态，提高其生活质量，并改善部分临床指标。
Background: Patients with chronic renal failure (CRF) are often accompanied by varying degrees of psychological problems, such as anxiety and depression, which can affect the quality of life and treatment outcomes of patients. Hemodialysis is the main treatment for CRF patients, but the dialysis process itself can also bring certain psychological pressure to patients. Quality care combined with psychological intervention aims to improve the psychological state and quality of life of patients with CRF hemodialysis. Objective: To investigate the effects of high-quality nursing combined with psychological intervention on the psychological state, quality of life and clinical indicators of hemodialysis patients with chronic renal failure. Methods: A retrospective study was conducted to enroll 100 CRF patients who received hemodialysis treatment in our hospital from January 2020 to December 2024 in the Department of Hemodialysis of the Sixth Affiliated Hospital of Xinjiang Medical University, and were divided into control group (n = 50) and observation group (n = 50) according to whether they received high-quality nursing combined psychological intervention scale assessment) and clinical indicators (including serum creatinine, urea nitrogen, hemoglobin, albumin, urea clearance, endogenous creatinine clearance, etc.). Results: Comparison of clinical indicators such as SAS and SDS scores, SF-36 quality of life scores, serum creatinine, blood urea nitrogen, urea clearance rate, and endogenous creatinine clearance rate between the two groups of patients showed significant differences with statistical significance (P < 0.05). However, there were no significant differences in hemoglobin and albumin levels (P > 0.05), indicating no statistical significance. Conclusion: High-quality nursing combined with psychological intervention can effectively improve the