Research on the application value of focused psychological nursing combined with disease perception nursing in uremic hemodialysis patients
聚焦式心理护理联合疾病感知护理在尿毒症血液透析患者中的应用价值研究

摘要

目的 探究聚焦式心理护理联合疾病感知护理在尿毒症血液透析患者中的应用价值。方法 前瞻性选取86例于本院进行血液透析的尿毒症患者（2025年2月至2026年2月），以随机数字表法分为A组（43例，常规护理模式）和B组（43例，聚焦式心理护理联合疾病感知护理），均观察至出院。比较两组各项指标变化情况。结果 比较A组，B组焦虑自评量表（SAS）评分与抑郁自评量表（SDS）在护理前无显著差异（P＞0.05）；护理后后者分数更具优势（P＜0.05）；与A组比较，B组透析依从性评分更高（P＜0.05）；两组患者的自我管理能力均有所改善，但B组改善效果更显著（P＜0.05）。结论 聚焦式心理护理联合疾病感知护理在尿毒症血液透析患者中能够起到显著作用，能够有效改善患者的心理状态，降低其抑郁和焦虑评分，加强其透析依从性，提高自我管理能力，该治疗方式值得临床推广。

Abstract

Objective To explore the application value of focused psychological nursing combined with disease perception nursing in patients with uremia undergoing hemodialysis.
Methods 86 patients with uremia who underwent hemodialysis in our hospital from February 2025 to February 2026 were prospectively selected and randomly divided into Group A (43 cases, conventional nursing mode) and Group B (43 cases, focused psychological nursing combined with disease perception nursing) using a random number table method. All patients were observed until discharge. Compare the changes in various indicators between two groups.
Results There was no significant difference in Self‑Rating Anxiety Scale (SAS) score and Strengths and Difficulties Questionnaire (SDQ) between Group A and Group B before nursing (P>0.05); After nursing, the latter had a higher score advantage (P<0.05); Compared with Group A, Group B had a higher dialysis compliance score (P<0.05); The self-management ability of both groups of patients has improved, but the improvement effect of group B is more significant (P<0.05).
Conclusion   Focused psychological nursing combined with disease perception nursing can play a significant role in uremic hemodialysis patients, effectively improving their psychological state, reducing their depression and anxiety scores, strengthening their dialysis compliance, and improving self-management ability. This treatment approach is worthy of clinical promotion.