对慢性肾衰长期血液透析患者实施认知行为护理干预的效果

Effect of Cognitive Behavioral Nursing Intervention on Chronic Renal Failure Patients Undergoing Long-term Hemodialysis

目的:探讨认知行为护理干预对慢性肾衰长期血液透析患者的临床价值。方法:选取2019年1月1日-3月31日笔者所在医院慢性肾衰患者100例,均实施长期血液透析治疗。按随机数字表法分为对照组(常规护理)与观察组(认知行为护理联合常规护理),每组50例。随访3个月,比较两组焦虑量表(SAS)评分、抑郁量表(SDS)评分、健康调查简表(SF-36)评分、血肌酐(Scr)、血尿素氮(BUN)、肾小球滤过率(GFR)及血液透析依从性。结果:随访3个月,观察组SAS、SDS评分均低于对照组(P<0.05);观察组SF-36各项评分均高于对照组(P<0.05);观察组Scr、BUN水平均低于对照组,GFR水平高于对照组(P<0.05);观察组透析依从率高于对照组(P<0.05)。结论:对慢性肾衰长期血液透析患者实施认知行为护理干预可改善不良情绪及生活质量,能够在一定程度上纠正肾功能异常情况,提高患者血液透析依从性。

Objective:To explore the clinical value of cognitive behavioral nursing intervention on chronic renal failure patients undergoing long-term hemodialysis.Method:A total of 100 patients with chronic renal failure who undergoing long-term hemodialysis in our hospital from January 1,2019 to March 31 were selected,and according to the random number table method,patients were divided into the control group(routine nursing)and the observation group(cognitive behavior nursing combined with routine nursing),with 50 cases in each group.Followed-up for 3 months,the self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,the MOS item short from health survey(SF-36)score,serum creatinine(Scr),blood urea nitrogen(BUN),glomerular filtration rate(GFR)and hemodialysis compliance were compared between the two groups.Result:Followed-up for 3 months,the scores of SAS and SDS in the observation group were lower than those of the control group(P<0.05).The SF-36 scores in the observation group were higher than those of the control group(P<0.05).The levels of Scr and BUN in the observation group were lower than those of the control group,and the level of GFR in the observation group was higher than that of the control group(P<0.05).The compliance rate of hemodialysis in the observation group was higher than that of the control group(P<0.05).Conclusion:For chronic renal failure patients undergoing long-term hemodialysis,the implementation of cognitive behavioral nursing intervention can improve patients’bad mood and quality of life,correct abnormal renal function to a certain extent,and improve patients’hemodialysis compliance.