认知行为护理结合个体化饮食指导对慢性肾衰竭维持性血液透析患者的影响

Impact of Cognitive Behavioral Nursing Combined with Personalized Dietary Guidance on Maintenance Hemodialysis Patients with Chronic Renal Failure

目的探讨认知行为护理结合个体化饮食指导在慢性肾衰竭(CRF)维持性血液透析患者中的应用效果。方法选取2021年6月—2023年6月汶上县人民医院收治的80例CRF维持性血液透析患者为研究对象,按随机数字表法将其分为对照组与观察组,各40例。对照组采取常规干预,观察组采取认知行为护理结合个体化饮食指导。对比两组患者的不良情绪、营养指标、健康行为及生活质量。结果干预后,观察组焦虑自评量表评分为(40.49±5.60)分,抑郁自评量表评分为(44.19±5.21)分,均低于对照组的(46.34±4.52)分、(52.64±6.14)分,组间差异有统计学意义(P<0.05);观察组血清白蛋白、总蛋白、前白蛋白、血红蛋白水平及健康促进生活方式量表、生活质量综合评定问卷各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论认知行为护理结合个体化饮食指导能减轻CRF维持性血液透析患者的不良情绪,改善营养指标与健康行为,提高生活质量。

Objective To explore the application effect of cognitive behavioral nursing combined with personalized dietary guidance in maintenance hemodialysis patients with chronic renal failure(CRF).Methods 80 patients with CRF maintenance hemodialysis admitted to Wenshang County People's Hospital from June 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 patients in each group.The control group received routine intervention,and the observation group received cognitive behavioral nursing combined with individualized dietary guidance.The negative mood,nutrition index,health behavior and quality of life were compared between the two groups.Results After the intervention,the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in the observation group were(40.49±5.60)points and(44.19±5.21)points,both lower than(46.34±4.52)points and(52.64±6.14)points in the control group,and the differences between groups were statistically significant(P<0.05);the levels of serum albumin,total protein,prealbumin,hemoglobin,and the scores of Health-Promoting Lifestyle Profile and various dimensions of Generic Quality of Life Inventory-74 in observation group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).Conclusion Cognitive behavioral nursing combined with personalized dietary guidance can alleviate negative emotions,improve nutritional indicators and health behaviors,and enhance quality of life in CRF maintenance hemodialysis patients.