基于认知行为理论的护理干预对痛风患者的影响

Research on the Effect of Nursing Intervention Based on Cognitive Behavioral Theory on Gout Patients

目的:探讨基于认知行为理论的护理干预在痛风患者临床护理中的应用价值。方法:研究对象为暨南大学附属顺德医院2020年5月-2021年5月收治的116例痛风患者,通过双盲法将其分为参照组和研究组。参照组58例痛风患者的护理模式为常规护理,研究组58例痛风患者在常规护理基础上再以基于认知行为理论进行护理干预。比较两组患者护理后的护理依从性、护理后的痛风知识掌握程度、护理前后的生活质量及护理后的护理满意度。结果:护理依从性方面,研究组总依从率对比于参照组明显更高(P<0.05);痛风知识掌握程度方面,研究组总掌握率对比于参照组明显更高(P<0.05);生活质量方面,护理前两组患者各维度评分对比,差异均无统计学意义(P>0.05),护理15 d后两组患者各维度评分均明显提高,且研究组各维度评分对比于参照组均明显更高(P<0.05);护理满意度方面,研究组总满意率对比于参照组明显更高(P<0.05)。结论:对于痛风患者,在其临床护理中以基于认知行为理论进行护理干预不仅可以帮助其进一步提高护理依从性及生活质量,而且还更有利于帮助患者掌握相关痛风知识,提高护理满意度。

Objective:To explore the application value of nursing intervention based on cognitive behavioral theory in clinical nursing of patients with gout.Method:The research subjects were 116 gout patients admitted to Shunde Hospital Affiliated to Jinan University from May 2020 to May 2021,who were divided into a reference group and a study group by double-blind method.The nursing mode of 58 gout patients in the reference group was routine nursing,while the 58 gout patients in the study group were given nursing intervention based on cognitive behavior theory on the basis of routine nursing.The nursing compliance after nursing,the mastery of gout knowledge after nursing 15 d,the quality of life before and after nursing,and the nursing satisfaction after nursing were compared between the two groups.Result:In terms of nursing compliance,the total rate of compliance of the study group was significantly higher than that of the reference group(P<0.05).In terms of the degree of gout knowledge mastery,the total rate of mastery of the study group was significantly higher than that of the reference group(P<0.05).In terms of quality of life,there were no statistical significances in the scores of all dimensions between the two groups before nursing(P>0.05),but the scores of all dimensions in the two groups after nursing were significantly improved,and the scores of all dimensions in the study group were significantly higher than those in the reference group(P<0.05).In terms of nursing satisfaction,the total rate of satisfaction of the study group was significantly higher than that of the reference group(P<0.05).Conclusion:For patients with gout,nursing intervention based on cognitive behavioral theory in their clinical care can not only help them further improve nursing compliance and quality of life,but also help patients master relevant gout knowledge and improve nursing satisfaction.