心理弹性支持结合认知护理干预对维持性血液透析患者的干预效果

Effect of psychological elasticity support combined with cognitive nursing intervention on maintenance hemodialysis patients

目的研究心理弹性支持结合认知护理干预对维持性血液透析患者的干预效果,为临床治疗提供指导。方法选取2019年2月—2020年2月安徽皖北煤电集团总医院收治的维持性血液透析患者75例进行研究。按照随机数表法分为观察组44例和对照组31例。对照组给予常规护理干预,观察组在对照组护理基础上给予心理弹性支持结合认知护理干预。护理干预4周后,比较两组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、生活质量评分及心理弹性量表评分情况。结果护理后,两组SAS、SDS评分较护理前明显下降,且观察组低于对照组(P<0.05)。两组乐观、自强、坚韧、心理弹性量表总分、生命活力、躯体功能、精神健康、情感职能、社会功能以及总体健康等评分与护理前比较均明显上升,且观察组显著高于对照组,差异均有统计学意义(均P<0.05)。结论心理弹性支持结合认知护理干预治疗维持性血液透析患者能明显改善患者不良情绪和生活质量,值得临床推广应用。

Objective To study on the effect of psychological elasticity support combined with cognitive nursing intervention on maintenance hemodialysis patients and provide guidance for clinical treatment.Methods From February 2019 to February 2020,75 patients with maintenance hemodialysis admitted to Anhui Wanbei Coal Power Group General Hospital were selected and divided into observation group 44 cases and control group 31 cases according to the random number table method.The control group was given routine nursing intervention,and the observation group was given psychological flexibility support and cognitive nursing intervention based on the control group nursing.After 4 weeks of nursing intervention,the self-rating depression scale(SDS),self-rating anxiety scale(SAS)scores,quality of life scores,and mental resilience scores were compared between the two groups.Results After nursing,the SAS and SDS scores of the two groups were significantly lower than before nursing,and those of the observation group were significantly lower than the control group(P<0.05).The scores of optimism,self-improvement,tenacity,mental elasticity scale,vitality,physical function,mental health,emotional function,social function,and overall health of the two groups were significantly increased compared with those before nursing,and the observation group was significantly higher than the control group,the differences were statictionally significant(all P<0.05).Conclusion Psychoelastic support combined with cognitive nursing intervention for maintenance hemodialysis patients can significantly improve patients′bad mood and quality of life,which is worthy of clinical application.