中医情志联合认知行为护理对血液透析患者睡眠和生活质量的影响

Effect of traditional Chinese medicine emotional nursing combined with cognitive behavior nursing on quality of sleep and life of hemodialysis patients

目的探讨中医情志联合认知行为护理对血液透析患者睡眠质量和生活质量的影响。方法以2018年6月-2020年6月于镇江市中西医结合医院行血液透析治疗的98例患者作为研究对象,按1:1比例随机分人观察组和对照组。对照组患者实施常规护理,观察组患者在对照组常规护理基础.上实施中医情志护理联合认知行为护理。评定两组护理前护理3个月后自我管理水平、睡眠质量和生活质量。结果护理后,两组自我管理行为得分均显著高于护理前(P值均<0.05),且观察组显著高于对照组(P<0.05);两组匹兹堡睡眠质量指数(PSQI)评分均显著低于护理前(P值均<0.05),且观察组显著低于对照组(P<0.05);观察组护理后生活质量综合评定问卷-74(GQOL-74)各项得分均显著高于对照组(P值均<0.05)。结论对血液透析患者实施中医情志护理联合认知行为护理,可明显提高自我管理行为水平,有效改善睡眠质量和生活质量。

Objective To explore the effect of Traditional Chinese Medicine(TCM)emotional nursing combined with cognitive behavior nursing on quality of sleep and life of hemodialysis patients.Methods.98 cases of hemodialysis patients in Zhenjiang Hospital of Chinese Traditional and Western Medicine from June 2018 to June 2020 were selected and randomly divided into two groups at a ratio of 1:1.Among them,49 cases who received routine nursing were set as the control group,and 49 cases who received TCM emotional nursing combined with cognitive behavior nursing on the basis of the control group were set as the observation group.The self-management level,sleep quality and quality of life of the two groups were evaluated before and 3 months after nursing.Results The scores of self-management behavior of the two groups after nursing were significantly higher than those before nursing(both P<0.05),and the score of the observation group after nursing was significantly higher than those of the control group(P<0.05).The scores of Pittsburgh Sleep Quality Index(PSQI)of the two groups were significantly lower than those before nursing(both P<0.05),and the score of the observation group after nursing was significantly lower than those of the control group(all P<0.05).The General Quality of Life Inventory-74(GQOL-74)scores of the observation group after nursing were significantly higher than those of the control group(all P<0.05).Conclusion The implementation of TCM emotional nursing combined with cognitive behavior nursing for hemodialysis patients can significantly improve the level of self-management behavior,and effectively improve the quality of sleep and life.