认知行为干预在提高血液透析患者生活质量中的应用研究

Application of Cognitive Behavioral Intervention in Improving the Quality of Life of Hemodialysis Patients

目的:探讨认知行为干预在提高血液透析患者生活质量中的应用。方法:选择2017年4月-2018年12月笔者所在医院收治的接受维持血液透析治疗的100例患者,将其随机分为对照组及研究组,各50例。对照组采取常规护理,研究组采取认知行为干预护理。比较两组SAS评分、SDS评分、生活质量评分。结果:护理前,两组SAS、SDS评分比较差异均无统计学意义(P>0.05);护理后,两组SAS、SDS评分均有所降低,且研究组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组生活质量评分均有所升高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:血液透析患者采取认知行为干预,可改善患者心理状态,提升患者生活质量,值得推广。

Objective:To explore the application of cognitive behavioral intervention in improving the quality of life of hemodialysis patients.Method:A total of 100 patients who received maintenance hemodialysis treatment in our hospital from April 2017 to December 2018 were selected and randomly divided into the control group and the research group,with 50 cases in each group.The control group received routine nursing,and the research group received cognitive behavioral intervention nursing.The SAS score,SDS score and quality of life score were compared between the two groups.Result:Before nursing,there were no statistically significant differences in SAS and SDS scores between the two groups(P>0.05).After nursing,SAS and SDS scores of the two groups were decreased,and the research group was lower than the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in quality of life scores between the two groups(P>0.05).After nursing,the quality of life scores of the two groups were increased,and the research group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Cognitive behavioral intervention in hemodialysis patients can improve their psychological state and their quality of life,which is worth popularizing.