Integrated medical care based on stress and coping theory on negative emotions and quality of life of hemodialysis patients
基于压力与应激理论医护一体化护理对血液透析患者负性情绪及生活质量的影响

摘要

目的 分析基于压力与应激理论医护一体化护理在血液透析患者中实际应用效果及对患者负性情绪和生活质量的影响。方法 选择2025年1月-6月于我院接受血液透析的200例肾功能衰竭患者为研究对象，基于随机双盲原则分为对照组和研究组各100例，并分别予以常规护理和基于压力与应激理论医护一体化护理，比较两组患者干预前后负性情绪、生活质量。结果 两组护理前的汉密尔顿焦虑量表（Hamilton Anxiety Scale, HAMA）、汉密尔顿抑郁量表（Hamilton Depression Scale, HAMD）评分未观察到显著性差异（P>0.05），干预后研究组各评分均较干预前明显下降且低于同期对照组（P<0.05）；两组干预后世界卫生组织生活质量测定简表（World Health Organization Quality of Life-Brief Version, WHOQOL-BREF）各维度评分均较干预前有所提升，且研究组提升幅度大于对照组（P<0.05）。结论 对血液透析患者实施基于压力与应激理论的医护一体化护理，有助于改善患者心理负面情绪，促进患者生活质量的提升，值得临床推广应用。

Abstract

Objective To analyze the actual application effect of integrated medical care based on stress and stress theory in hemodialysis patients and its impact on patients’ negative emotions and quality of life.
Methods 200 patients with renal failure who received hemodialysis in our hospital from January to June 2025 were selected as the research subjects. They were randomly and double-blindly divided into the control group and the study group, with 100 cases in each group. They were respectively given routine care and integrated medical care based on stress and stress theory. The negative emotions and quality of life of the two groups before and after the intervention were compared.
Results There was no significant difference in the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) scores before the intervention between the two groups (P > 0.05). After the intervention, the scores of each item in the study group were significantly lower than those before the intervention and lower than those of the control group at the same time (P < 0.05); The scores of each dimension of World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) in the two groups after the intervention were all improved compared with those before the intervention, and the improvement amplitude of the study group was greater than that of the control group (P < 0.05).
Conclusion   Implementing integrated medical care based on stress and stress theory for hemodialysis patients can help improve patients' psychological negative emotions and promote the improvement of patients' quality of life. It is worthy of clinical promotion and application.