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;

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Keywords：

血液透析; 5E; 康復治療; 抑郁

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目的:探討以5E為核心的康復治療對改善血液透析患者抑郁的作用。方法:50例維持性血液透析大于3個月患者納入本研究,使用漢密頓抑郁量表(HAMD)分別在研究開始、研究結束時評估患者的抑郁癥狀,對患者實施以5E為核心的康復干預,主要內容包括鼓勵、教育、鍛煉、工作及評估。隨訪6個月觀察患者抑郁癥狀的變化。結果:50例患者完成隨訪研究,研究終末時具有具有抑郁癥狀患者由開始時的28例減少到11例。患者在研究開始與隨訪6月時患者抑郁癥狀的發生率與抑郁評分分別為(56%比22%,χ2=37,P lt;005)與［(67±51)比(50±47),t=273,P lt;005］。患者在隨訪終末時抑郁癥狀的發生率及抑郁評分較研究開始時均顯著降低。結論:本研究表明以5E為核心的康復治療能明顯改善維持性血液透析患者的精神癥狀。

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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2. 田信奎,甘紅兵,董捷,等.康復計劃對腹膜透析病人社會回歸的影響[J].中國康復醫學雜志,2003,18(5):264265.
3. 劉希會,胡昭,汪濤.5E能改善腹膜透析患者的精神癥狀[J].中國血液凈化,2004,3(12):646648.
4. 劉仕艷,林惠鳳.維持性血液透析患者的五“E”康復護理[J].護士進修雜志,2006,21(10):899902.
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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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