| PurposeInvestigate the anxiety situation in hemodialysis patients and the influencing factors of anxiety in hemodialysis patients;Investigate the influence of progressive relaxation therapy for hemodialysis anxiety, insomnia, self-efficacy. MethodsThis experiment is quasi-experimental study design, according to the random number table, 90 hemodialysis patients were randomly divided into two groups: 45 cases in the intervention group and a control group of 45 patients. Intervention group patients carry on progressive muscle relaxation training on a regular basis daily dialysis treatments, it was guided by the same researchers in separate dialysis room once a week, once 30 minutes, 6-month intervention. The control group applies only daily care routine hemodialysis over the same period. Prior to the intervention, six months later, we assess the two groups of patients anxiety scores, self-efficacy scores, insomnia. Research tools include: general information questionnaire, State- Trait Anxiety Inventory. Athens Insomnia Scale, General Self-Efficacy Scale. Using SPSS17.0 statistical software for data entry and analysis.Statistical methods are mainly descriptive statistical analysis, t test, x2 test, Fisher’s exact test, Mann-Whitney test, Firedman test.Yi Spearman correlation analysis, repeated measures analysis of variance. Results1. The(SA-I) score of a maintenance hemodialysis patients with state anxiety was 52.21 ± 2.68, while the normal norm(n=818), SA-I score was 38.9 ± 7.45, Comparison between the two was statistically significant(P<0.05),the result of multiple linear regression analysis showed: marriage, emergency burden of payment, duration of dialysis main factors affecting patient anxiety.2. 2 paired t test results showed that:before the intervention, the intervention group and the control group state anxiety(S-AI) score was not statistically significant(t = 1.340, P> 0.05), using a paired test testing before and after the experimental and control groups state intervention anxiety scores,respectively,the results show differences in anxiety scores before and after the intervention in the control group was statistically significant(t=18.364,P <0.05). Differences in the experimental group anxiety scores before and after the intervention was statistically significant(t=11.549,P <0.05), but the experimental group anxiety score after the intervention was significantly decreasing.Using two-sample t ’test test for two groups of patients S-AI score difference(before and after the intervention of a intervention), showed that the two groups were statistically significant differences in anxiety scores(t = 28.936, P <0.05).3. Wilconox sign rank method in Wilcoxon test was used to test insomnia scores before and after the intervention groups, the intervention showed no significant difference in the control group(P=0.715), while the experimental group there was statistically significant(P=0.002). Experimental and control groups insomnia score appear level data,using The Mann-Whitney U test(non-parametricstatitics) to examine pre-intervention and post-intervention insomnia scores,while after the intervention was statistically significant(P =0.001).4. Paired t test was used to test self-efficacy(GSES) scores of the two groups of patients before and after the intervention, the results showed significantly different increased significantly than the intervention group. Using two-sample t-test method to test the difference between the two groups of patients GSES scores(pre-intervention after intervention), both groups showed statistically significant(P=0.003). It shoued that after the intervention the rate of self-efficacy scores increasing rapidly in the experimental group than the control group(P=0.002).5. Using state anxiety score, self-efficacy,insomnia scores before the intervention as covariates(X), state anxiety score, self-efficacy, insomnia score after the intervention as the dependent variable(Y), cattying on covariance analysis, the result showed after adjustment for confounding factors, state anxiety score, self-efficacy scores, insomnia scores the of the experimental group after the intervention were statistically significant differences(P <0.05). Conclusion1. Anxiety levels in hemodialysis patients were higher than normal, should be given intervention. Affecting anxiety factors include marriage marriage, economic burden, payment method, duration of dialysis.2. Progressive relaxation training can reduce the level of state anxiety in patients and effective in improving the patient’s quality of sleeping, self-efficacy. |
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