【摘要】目的观察基于人格分型的“一点二源”适应性护理模式在尿毒症血液透析患者中的应用效果。方法选择2016 年1～12 月于广州医科大学附属第二医院接受血液透析治疗的尿毒症患者60 例做为研究对象，随机等量分为对照组、试验组各30 例，对照组接受常规血液透析护理，试验组接受基于人格分型的“一点二源”适应性护理模式干预，对比2 组干预后的各项干预指标。结果试验组血液透析患者干预后抑郁(t=5.519，P＜0.001)、焦虑(t=4.677，P＜0.001)自评得分均显著低于对照组同类入选者，治疗依从性评价得分(用药：t=6.540，P＜0.001；液体摄入：t=20.723，P＜0.001；饮食：t=11.812，P＜0.001；透析方案: t=5.098, P＜0.001；总分：t=19.833，P＜0.001)显著高于对照组同类血液透析患者。结论采用基于人格分型的“一点二源”适应性护理模式对尿毒症血液透析患者实施干预，能明显改善患者的抑郁焦虑情绪并提高其依从性。

【Abstract】Objective To observe the application effect of "one point two sources" adaptive nursing model based on personality classification in hemodialysis patients. Methods A total of 60 uremic patients treated with hemodialysis in our hospital in the period from Jan. to Dec. 2016 were recruited. They were randomly divided into control group receiving conventional hemodialysis nursing (n=30) and test group (n=30) receiving "one point two source" adaptive nursing model based on personality classification. Psychological parameters and compliance to treatment were compared between the two groups. Results After the intervention, the scores of depression and anxiety were significantly lower in test group than in control group. The scores of treatment compliance were significantly higher in test group than in control group (P<0.05). Conclusion The "one point two sources" adaptive nursing model based on personality classification can improve the depression and anxiety and the compliance to therapy in hemodialysis patients.