肾内科血液透析患者经认知、情绪和行为护理干预的临床价值

Clinical Value of Cognitive,Emotional and Behavioral Nursing Intervention in Renal Dialysis Patients

目的探究为肾内科血液透析患者实行认知、情绪和行为护理干预的临床应用效果。方法选取辽宁省辽阳市中心医院于2018年10月至2019年10月进行肾内科血液透析的患者120例,以随机数字表法将其分为对照组和试验组,每组60例。对照组行常规护理干预,试验组在其基础上加行认知、情绪和行为护理干预。比较干预前后两组患者的肾脏功能指数,护理后患者的不良情绪、治疗配合度、认知行为情况。结果干预前,试验组和对照组尿素氮分别为(44.85±8.46)mmol/L、(45.37±8.69)mmol/L,血清肌酐分别为(1071.47±220.35)μmol/L、(1079.31±215.57)μmol/L,差异无统计学意义(P>0.05);干预后,试验组患者的肾脏功能指标均明显改善,试验组尿素氮与血清肌酐分别为(31.64±8.01)mmol/L、(832.59±175.85)μmol/L,均小于对照组的(43.55±8.17)mmol/L、(989.65±167.31)μmol/L,组间差异有统计学意义(P<0.05)。护理后,试验组不良情绪发生率(25.00%)低于对照组(81.67%),治疗配合度(96.67%)高于对照组(60.00%),认知清晰率(86.67%)高于对照组(46.67%),认知模糊率(13.33%)低于对照组(53.33%),组间差异有统计学意义(P<0.05)。试验组护理人员配合度(7.82±1.52)分、护理人员态度(8.01±1.02)分、护理人员讲解能力(8.65±0.79)分以及科室环境评分(8.55±1.02)分均高于对照组(6.88±1.22)分、(7.21±1.22)分、(7.44±1.52)分、(7.39±1.56)分,组间差异有统计学意义(P<0.05)。结论加行认知、情绪和行为护理干预可有效改善血液透析患者的肾脏功能,减轻患者的不良情绪,提高其治疗配合度,进一步改善患者的认知行为,提高治疗效果。

Objective To explore the clinical effect of cognitive,emotional and behavioral nursing intervention for hemodialysis patients in renal department.Methods A total of 120 cases of hemodialysis patients in the Department of Renal Medicine in our hospital from October 2018 to October 2019 were selected and divided into control group and experimental group by random number table method,with 60 cases in each group.The control group received routine nursing intervention,and the experimental group received cognitive,emotional and behavioral nursing intervention.The renal function indexes of the two groups of patients before and after the intervention were compared,as well as the adverse mood,treatment coordination degree and cognitive behavior of the patients after the nursing.Results Before intervention,there was no significant difference between urea nitrogen were(44.85±8.46)mmol/L,(45.37±8.69)mmol/L,and serum creatinine were(1071.47±220.35)μmol/L and(1079.31±215.57)μmol/L between experimental group and control group(P>0.05).After intervention,renal function index of experimental group was significantly improved,urea nitrogen(31.64±8.01)mmol/L and serum creatinine(832.59±175.85)μmol/L of experimental group were lower than those of control group(43.55±8.17)mmol/L and(989.65±167.31)μmol/L,there were differences among two groups(P<0.05).After nursing,the rate of bad mood in the experimental group(25.00%)was lower than that in the control group(81.67%),the degree of cooperation in the experimental group(96.67%)was higher than that in the control group(60.00%),and the rate of cognitive clarity in the experimental group(86.67%)was higher than that in the control group(46.67%),the cognitive fuzzy rate(13.33%)was lower than that of the control group(53.33%),and there was a difference between the two groups(P<0.05).The coordination degree of nursing staff(7.82±1.52),attitude of nursing staff(8.01±1.02),explaining ability of nursing staff(8.65±0.79)and environmental score of department(8.55±1.02)in experimental group were higher than those in control group(6.88±1.22),(7.21±1.22)and(7.44±1.52)points,(7.39±1.56)points,the difference between groups was statistically significant(P<0.05).Conclusion The intervention of cognitive,emotional and behavioral nursing can effectively improve the renal function index of patients,reduce the occurrence of adverse emotions in patients,so as to improve the degree of treatment coordination,further improve the cognitive behavior of patients,improve the treatment effect.