5E Rehabilitation Program Can Improve Psychiatric Symptoms on the Maintained Hemodialysis Patients_West China Medical Journal

Authors：

ZHOU Zhonghui

The People’s Hospital of Suining City, Suining Sichuan 629000, China;

Corresponding author：

Keywords：

血液透析; 5E; 康复治疗; 抑郁

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目的:探讨以5E为核心的康复治疗对改善血液透析患者抑郁的作用。方法:50例维持性血液透析大于3个月患者纳入本研究,使用汉密顿抑郁量表(HAMD)分别在研究开始、研究结束时评估患者的抑郁症状,对患者实施以5E为核心的康复干预,主要内容包括鼓励、教育、锻炼、工作及评估。随访6个月观察患者抑郁症状的变化。结果:50例患者完成随访研究,研究终末时具有具有抑郁症状患者由开始时的28例减少到11例。患者在研究开始与随访6月时患者抑郁症状的发生率与抑郁评分分别为(56%比22%,χ2=37,P lt;005)与［(67±51)比(50±47),t=273,P lt;005］。患者在随访终末时抑郁症状的发生率及抑郁评分较研究开始时均显著降低。结论:本研究表明以5E为核心的康复治疗能明显改善维持性血液透析患者的精神症状。

Citation： ZHOU Zhonghui. 5E Rehabilitation Program Can Improve Psychiatric Symptoms on the Maintained Hemodialysis Patients. West China Medical Journal, 2009, 24(5): 1111-1113. doi: Copy

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1. FINKELSTEIN F O, FINKELSTEIN S H. Psychological adaptation and quality of life of the patian with end stage renal disease[M]. Oxford Univercity Press,1999:168187.
2. 田信奎,甘红兵,董捷,等.康复计划对腹膜透析病人社会回归的影响[J].中国康复医学杂志,2003,18(5):264265.
3. 刘希会,胡昭,汪涛.5E能改善腹膜透析患者的精神症状[J].中国血液净化,2004,3(12):646648.
4. 刘仕艳,林惠凤.维持性血液透析患者的五“E”康复护理[J].护士进修杂志,2006,21(10):899902.
5. 朱昌明.抑郁症严重程度评定[J].中华神经精神科杂志,1986,19(5):314.
6. SCHUTTE N S, MALOUFF J M. Hamilton Depression Rating Scale: Source Book of Adult Assessment Strategies,1995:127134.
7. KIMMEL P L. Psychosocial factors in adait endstage renal disease patients treated with hemodialysis: correlates and outcomes[J]. Am J Kindney Ais,2000,35(4 Suppl 1):S132S140.

West China Medical Journal

5E Rehabilitation Program Can Improve Psychiatric Symptoms on the Maintained Hemodialysis Patients

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