Effect of continuous care family visiting on disease uncertainty and psychological conditions in non-dialysis chronic renal failure patients
10.3760/j.issn.1674-2907.2015.06.022
- VernacularTitle:连续照顾性家庭访视对非透析慢性肾衰竭患者疾病不确定感与心理状况的影响
- Author:
Minghua FANG
1
Author Information
1. 310012 杭州，浙江省立同德医院肾病科
- Keywords:
Chronic renal failure;
Anxiety;
Depression;
Continuous care family visiting
- From:
Chinese Journal of Modern Nursing
2015;21(6):680-682,683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of continuous care family visiting on disease uncertainty and psychological conditions in non-dialysis chronic renal failure patients .Methods Totals of 120 non-dialysis chronic renal failure patients admitted to our department from July 2011 to June 2013 were selected.In accordance with the principle of randomized controlling , patients were divided into observation group and control group, with 60 cases in each.The control group received conventional family supervision , while the observation group underwent continuous care family visiting in addition to traditional family supervision . The illness uncertainty and psychological conditions of two groups were assessed and compared before and after the intervention .Results Before the intervention , disease uncertainty and psychological conditions of the two groups were not significantly different (P>0.05).After the intervention, the scores of sense of uncertainty, complexity, unpredictability, lack of disease-related information or inconformity were (35.3 ±5.1), (8.7 ± 3.0), (8.8 ±3.5) and (12.5 ±2.8), which were significantly better than those in the control group (t=11.70,11.10,10.70,8.21,respectively;P <0.05).Before the intervention, the scores of anxiety and depression of the two groups were not significantly different (P>0.05).After the intervention, the scores of anxiety and depression were (42.1 ±5.8) and (41.3 ±5.6) in the observation group, which were significantly lower than those in the control group (t=3.440, 5.740, respectively;P<0.05).Conclusions Continuous care family visiting cannot only significantly alleviate the uncertainty of illness in non -dialysis chronic renal failure patients, but also improve their mental condition and quality of life , and enhance their motivation and adherence to treatment .
