中医辨证连续护理干预对终末期肾病患者治疗依从性及心理负性情绪的影响

Analysis of the Traditional Chinese Medicine Continuous Nursing Intervention on Treatment Compliance and Psychological Negative Emotion of Patients with End-Stage Renal Disease Based on Syndrome Differentiation

目的探究中医辨证连续护理干预对终末期肾病患者治疗依从性及心理负性情绪的改善效果。方法择取2019年9月—2020年8月接收的终末期肾病患者62例,按接收先后顺序分为参照组31例施以常规护理干预,中医组31例施以中医辨证连续护理干预,参照组患者在刮治后服用抗生素治疗,中医组刮治前服用抗生素治疗。观察对比组间护理前后依从性及心理负性情绪。结果2组护理前饮食、饮水、用药、透析方案依从性,以及焦虑和抑郁等评分对比,P>0.05;护理后中医组饮食、饮水、用药及透析方案依从性等评分均高于参照组(P<0.05),焦虑、抑郁评分均低于参照组(P<0.05)。结论对终末期肾病患者施以中医辨证连续护理干预效果显著,有利于提升其治疗依从性,改善其心理负性情绪,具有大量推广应用的价值。

Objective To explore the effect of TCM syndrome differentiation continuous nursing intervention on treatment compliance and psychological negative emotion of patients with end-stage renal disease.Methods 62 patients with end-stage renal disease admitted from September 2019 to August 2020 were selected and divided into the control group(31 cases)and the traditional Chinese medicine group(31 cases)according to the receiving sequence.The patients in the reference group were treated with antibiotics after curettage and the traditional Chinese medicine group was treated with antibiotics before curettage.The compliance and psychological negative emotions between the two groups before and after nursing was observed and compared.Results Before nursing,the scores of diet,drinking water,medication,dialysis program compliance,anxiety and depression were compared between the two groups(P>0.05).After nursing,the scores of diet,drinking water,medication and dialysis program compliance in the TCM group were higher than those in the control group(P<0.05).The scores of anxiety and depression of the TCM group were lower than those of the control group(P<0.05).Conclusion The effect of TCM continuous nursing intervention on patients with end-stage renal disease is significant,which is conducive to improve their treatment compliance and improve their psychological negative emotions,which has a high value of popularization and application.