Effect of dynamic orientation therapy on psychological stress and treatment compliance of patients with diabetic nephropathy undergoing hemodialysis
10.3760/cma.j.cn115682-20200716-04438
- VernacularTitle:动力取向治疗对糖尿病肾病血液透析患者心理应激及治疗依从性的影响
- Author:
Haiyan LING
1
;
Yunxia DAI
Author Information
1. 浙江省嘉兴市第一医院血透室 314000
- Keywords:
Hemodialysis;
Dynamic orientation therapy;
Diabetic nephropathy;
Psychological stress;
Compliance
- From:
Chinese Journal of Modern Nursing
2021;27(14):1894-1897
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of dynamic orientation therapy on psychological stress and treatment compliance of patients with diabetic nephropathy undergoing hemodialysis.Methods:Using the convenient sampling method, a total of 120 patients with diabetic nephropathy undergoing hemodialysis who were treated in the First Hospital of Jiaxing from October 2016 to September 2019 were selected as the research objects. Using the random number table method, they were divided into the control group and the intervention group, with 60 cases in each group. The control group received conventional treatment and nursing, while patients in the intervention group received dynamic orientation therapy on this basis. The anxiety and depression scores and treatment compliance of patients in the two groups were compared before and after intervention.Results:After intervention, SAS score and SDS score in the intervention group were lower than those in the control group [ (52.57±4.53) vs. (57.39±4.21) , (45.89±3.90) vs. (49.87±4.29) ], and the differences were statistically significant ( P<0.05) . The scores of diet and medication compliance in the intervention group were higher than those in the control group [ (59.65±5.82) vs. (53.11±6.76) , (6.44±1.28) vs. (5.89±1.24) ], and the differences were statistically significant ( P<0.05) . The exercise compliance of the intervention group after intervention was better than that of the control group, and the difference was statistically significant ( P<0.05) . Conclusions:Application of dynamic orientation therapy in patients with diabetic nephropathy undergoing hemodialysis can reduce anxiety and depression of patients and improve treatment compliance of them.