內(nèi)瘺失敗原因分析及護(hù)理對策

論文編號:HL018  論文字?jǐn)?shù):6092.頁數(shù):19

論文題目：尿毒癥造瘺患者的心理特點(diǎn)及護(hù)理
摘 要
目的
探討接受內(nèi)瘺手術(shù)的尿毒癥患者的心理特點(diǎn)及護(hù)理，為提高尿毒癥治療效果提供依據(jù)。方法
對我科2008年4月至2009年6月共34例接受內(nèi)瘺手術(shù)的尿毒癥患者的心理狀態(tài)進(jìn)行問卷調(diào)查、評估及系統(tǒng)心理護(hù)理。
結(jié)果
手術(shù)前患者心理不良反應(yīng)達(dá)91.2%，其中憂郁29.4%，焦慮26.5%，恐懼8.8%，抗拒11.8%，沮喪自卑14.7%，接受系統(tǒng)心理護(hù)理后，不良心理反應(yīng)下降至21.6%，憂郁8.8%，焦慮5.9%，恐懼2.9%，抗拒2.9%，沮喪自卑5.9%，患者在手術(shù)過程中能主動配合，情緒穩(wěn)定。
結(jié)論
 對接受內(nèi)瘺手術(shù)的尿毒癥患者實(shí)施系統(tǒng)心理護(hù)理，能減輕患者的不良心理反應(yīng)，增強(qiáng)患者戰(zhàn)勝疾病的信心，是提高本病綜合治療效果的重要方法之一。
 
關(guān)鍵詞：造瘺；尿毒癥；心理特點(diǎn)及護(hù)理

論文類型：研究報告
 
Title: Uremia Fistula Psychological Characteristics of Patients and Nursing
ABSTRACT
Objective 
 In the discussion accepts the fistula surgery's uremia patient's psychological characteristic and nursing, to enhance uremia treatment result to provide the basis.
Methods  
 Altogether 34 examples accepts the fistula surgery's uremia patient's psychology to my branch April, 2008 to the June, 2009 to carry on the questionnaire survey, the appraisal and system psychology nursing.
 
Results
 Before the surgery, the patient psychology untoward effect reaches 91.2%, melancholy 29.4%, anxious 26.5%, frightened 8.8%, resists 11.8%, feels inferior depressed 14.7%, after accepting system psychology nursing, the bad psychology responded that drops to 21.6%, melancholy 8.8%, anxious 5.9%, frightened 2.9%, resists 2.9%, feels inferior depressed 5.9%, the patient in the surgery process can the initiative, the mood be stable.
Conclusions
 The fistula surgery's uremia patient implements system psychology nursing to acceptance, can reduce patient's bad psychology to respond, strengthens the patient to defeat disease's confidence, enhances one of this sickness complex therapy effect important methods.
 KEY WORDS: Makes the fistula,Uremia,Psychology characteristic and nursing
 
目  錄
1   前言 1
1.1背景及意義 1
1.2研究目的及目標(biāo) ..1
1.3 研究方法及成果 2
1.4 文獻(xiàn)回顧 2
2   研究設(shè)計 5
2.1研究對象 5
2.2一般資料 5
2.3 研究方法 5
2.4 研究步驟 5
3   結(jié)果 7
3.1尿毒癥造瘺患者心理護(hù)理前表現(xiàn) 7
3.2尿毒癥造瘺患者心理護(hù)理后表現(xiàn) 7
4   討論 8
4.1尿毒癥造瘺患者心理特點(diǎn) 8
4.2尿毒癥造瘺患者的心理護(hù)理 8
5   小結(jié) 11
致    謝 13
參考文獻(xiàn) 15