认知干预结合心理弹性护理在慢性肾功能衰竭动静脉内瘘成形术患者中的应用

Application of Cognitive Intervention Combined with Psychological Nursing in Patients with Chronic Renal Failure undergoing Arteriovenous Fistuloplasty

目的:探讨认知干预结合心理弹性护理在慢性肾功能衰竭动静脉内瘘成形术患者中的应用效果,为患者的临床诊治提供理论依据。方法:选取2017年1月-2019年2月在本院就诊的慢性肾功能衰竭动静脉内瘘成形术患者92例为研究对象,采用随机数字表法将其分为观察组和对照组,各46例。对照组患者实施常规护理,观察组患者实施认知干预结合心理弹性护理。比较两组护理前后生活质量评分、心理状况评分,并比较两组护理满意度、治疗依从性及不良反应发生情况。结果:观察组的治疗依从率为97.83%,明显高于对照组的76.09%,差异有统计学意义(P<0.05)。护理后,两组患者的生活满意度、健康指数、情感得分、一般感情指数评分均明显高于护理前,且观察组的上述各项评分均明显高于对照组,差异均有统计学意义(P<0.05)。护理后,两组患者的焦虑、抑郁、人际关系敏感、敌对评分均明显低于护理前,且观察组的上述各项评分均明显低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率为2.17%,明显低于对照组的17.39%,差异有统计学意义(P<0.05)。观察组的各项护理满意度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:认知干预结合心理弹性护理对慢性肾功能衰竭动静脉内瘘成形术患者的临床效果显著,能有效改善患者的心理状况,提高患者的生活质量及治疗依从性,减少不良反应的发生,提高护理满意度,值得临床推广使用。

Objective:To explore the effect of cognitive intervention combined with psychoelastic nursing on patients with chronic renal failure undergoing arteriovenous fistuloplasty,to provide theoretical basis for the clinical diagnosis and treatment of patients.Method:A total of 92 cases of arteriovenous fistulas with chronic renal failure admitted to our hospital from January 2017 to February 2019 were selected as the study objects,they were divided into observation group and control group by random number table method,46 cases in each group.Patients in the control group received routine care,patients in the observation group were given cognitive intervention combined with mental resilience care.The scores of life quality and psychological status before and after nursing were compared between the two groups,and the nursing satisfaction,treatment compliance and adverse reactions were compared between the two groups.Result:The treatment compliance rate of the observation group was 97.83%,significantly higher than 76.09%in the control group,the difference was statistically significant(P<0.05).After nursing,the life satisfaction,health index,emotional score and general emotional index scores of the two groups were significantly higher than those before nursing,and the above scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of anxiety,depression,interpersonal sensitivity and hostility in both groups were significantly lower than those before nursing,and the above scores of the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 2.17%,significantly lower than 17.39%in the control group,the difference was statistically significant(P<0.05).The scores of nursing satisfaction in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The clinical effect of cognitive intervention combined with mental resilience nursing on arteriovenous internal fistula plasty in patients with chronic renal failure is significant,it can effectively improve patients’psychological status,improve patients’quality of life and treatment compliance,reduce the occurrence of adverse reactions,increase nursing satisfaction,and is worthy of clinical application.