中文摘要：

目的探讨心理干预、自我管理督导在维持性血液透析患者中的应用效果。方法选择2011年11月-2013年9月本院血液透析室的60例维持性血液透析患者作为研究对象,按照随机数字表法分为两组,各30例。对照组给予常规护理干预,研究组在对照组的基础上实施心理干预及自我管理督导。干预8周后,比较两组的焦虑、抑郁症状评分及自我管理行为评分。结果干预8周后,两组干预后的SAS、SDS评分较入院时均明显降低,差异有统计学意义（P〈0.01）,研究组干预后的SAS、SDS评分显著低于对照组,差异有统计学意义（P〈0.01）;干预8周后,研究组自我管理行为各维度评分及总评分高于对照组,差异有统计学意义（P〈0.01）。结论在维持性血液透析患者中实施心理干预可有效改善患者焦虑、抑郁等不良情绪,同时进行自我管理督导可提高患者自我管理能力。

英文摘要：

Objective To explore application effect of psychological intervention and self-management supervisor on patients with maintenance hemodialysis. Methods 60 patients with maintenance hemodialysis from November 2011 to September 2013 in our hospital was selected and randomly divided into two groups,30 cases in each group.Routine nursing care intervention was given in the control group, sychological intervention and self-management supervisor was given in the research group on the basis of control group.After 8 weeks of the intervention,symptoms score of depression and anxiety,scores of self-management behavior were compared between the two groups. Results After 8 weeks of the intervention,scores of the SAS and the SDS of two groups were significantly lower than those on admission,with statisti-cal difference （P〈0.01）,scores of the SAS and the SDS of research group were significantly lower than that of control group after intervention,with statistical difference （P〈0.01）.After 8 weeks of the intervention,score of the self-manage-ment behavior and total score of the research group were higher than those of the control group,with statistical differ-ence（P〈0.01）. Conclusion Implementation of psychological intervention in maintenance hemodialysis patients can effec-tively improve patient’ anxiety,depression and other negative emotions,and self-management can improve patient’self-management supervisory capacity.