认知行为护理对肾内科血液透析患者生命质量与睡眠质量的影响研究

Effect of Cognitive Behavior Nursing on Quality of Life and Sleep Quality of Hemodialysis Patients in Nephrology Department

目的:研究认知行为护理对肾内科血液透析患者生命质量与睡眠质量的影响。方法:选取2018年6月至2019年6月黑龙江省医院肾内科收治的血液透析患者96例作为研究对象,按照随机数字表法分为对照组和观察组,每组48例。对照组采取肾内科常规护理方法,观察组在常规护理基础上,增加认知行为护理。比较2组护理后的生命质量情况,以及护理前后的睡眠质量情况,并比较2组的护理满意度情况。结果:护理后,观察组精神状况(81.26±7.99)分、情感限制(68.95±6.78)分、身体疼痛(66.56±6.22)分、社会交往(67.96±6.45)分、活力情况(67.18±6.04)分、角色限制(52.65±5.39)分、机体功能(82.94±8.15)分,分别高于对照组的(63.31±5.92)分、(53.32±5.35)分、(51.23±4.91)分、(56.40±5.21)分、(51.08±5.01)分、(35.32±3.50)分、(71.24±7.00)分,差异有统计学意义(P<0.05)。护理前,2组比较睡眠质量评分,差异无统计学意义(P>0.05);护理后,观察组睡眠质量评分(11.20±1.44)分,低于对照组的(16.26±1.78)分,差异有统计学意义(P<0.05)。观察组护理总满意率为95.83%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论:在肾内科血液透析患者中,采取常规护理配合认知行为护理的方式,能够使患者的生命质量得到明显的提升,同时可改善患者睡眠质量,提高患者护理满意度,取得了理想的护理效果。

Objective:To study the effect of cognitive behavioral nursing on the quality of life and sleep of hemodialysis patients in nephrology department.Methods:A total of 96 hemodialysis patients from June 2018 to June 2019 in the department of nephrology of Heilongjiang provincial hospital were selected as the research objects and randomly divided into control group and observation group,48 cases in each group.The control group was given routine nursing methods in nephrology department,while the observation group was given cognitive behavior nursing on the basis of routine nursing.The quality of life,sleep quality and nursing satisfaction were compared between the two groups.Results:After nursing,the scores of mental status(81.26±7.99),emotional limitation(68.95±6.78),physical pain(66.56±6.22),social interaction(67.96±6.45),vitality(67.18±6.04),role limitation(52.65±5.39)and body function(82.94±8.15)in the observation group were higher than those in the control group(63.31±5.92),(53.32±5.35),(5.94±8.15)respectively(23±4.91),(56.40±5.21),(51.08±5.01),(35.32±3.50),(71.24±7.00),the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in sleep quality score between the two groups(P>0.05);after nursing,the sleep quality score of the observation group was(11.20±1.44),which was lower than that of the control group(16.26±1.78),and the difference was statistically significant(P<0.05).The total nursing satisfaction rate of the observation group was 95.83%,which was higher than 75.00%of the control group(P<0.05).Conclusion:In the hemodialysis patients in nephrology department,the routine nursing combined with cognitive behavioral nursing can significantly improve the quality of life of patients,improve the sleep quality of patients,improve the nursing satisfaction of patients,and achieve ideal nursing effect.