认知行为干预结合家属参与式延续护理对2型糖尿病肾病患者影响

Influence of Cognitive Behavioral Intervention Combined with Family-participated Continuous Nursing Care on Patients with Type 2 Diabetic Nephropathy

目的讨论在2型糖尿病肾病患者护理过程中应用认知行为干预与家属参与式延续护理进行联合干预所取得的护理效果。方法选取2018年7月—2021年7月期间山东省寿光市人民医院收治的120例2型糖尿病肾病患者,随机分为两组,各60例。对照组应用认知行为干预,研究组应用认知行为干预与家属参与式延续护理进行联合干预,记录并对比两组患者的护理效果。结果护理后,研究组医疗知识认识水平评分高于对照组,差异有统计学意义(P<0.05);护理后,两组患者自护能力均有所提升,且研究组优于对照组,差异有统计学意义(P<0.05);护理后,两组患者不良情绪均得到改善,且研究组优于对照组,差异有统计学意义(P<0.05);研究组护理依从性优于对照组,差异有统计学意义(P<0.05);护理后,两组患者血糖指标均有所改善,且研究组空腹血糖与餐后血糖均低于对照组,差异有统计学意义(P<0.05);护理后,研究组患者的生活质量评分、护理满意度较对照组更高,差异有统计学意义(P<0.05)。结论在2型糖尿病肾病患者护理过程中,通过在认知行为干预的基础上应用家属参与式延续护理进行联合干预,有利于帮助糖尿病肾病患者更好地实现对于相关护理知识的学习与思考,对于患者自我护理能力的优化与预后生活质量的提升具有良好的促进作用。

Objective To discuss the nursing effect of the combined intervention of cognitive behavioral intervention and family participatory continuous nursing in the nursing process of patients with type 2 diabetic nephropathy.Methods 120 patients with type 2 diabetic nephropathy treated in Shouguang people’s Hospital of Shandong Province from July 2018 to July 2021 were randomly divided into two groups,with 60 cases in each group.The control group was treated with cognitive behavioral intervention,and the study group was treated with cognitive behavioral intervention and family member participatory continuous care.The nursing effects of the two groups were recorded and compared.Results After nursing,the medical knowledge awareness level score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);after nursing,the self-care ability of patients in the two groups was improved,and the study group was better than the control group,the difference was statistically significant(P<0.05);after nursing,the bad mood of patients in the two groups was improved,and the study group was better than the control group,the difference was statistically significant(P<0.05);the nursing compliance of the study group was better than that of the control group,and the difference was statistically significant(P<0.05);after nursing,the blood glucose indexes of the two groups were improved,and the fasting blood glucose and postprandial blood glucose of the study group were lower than those of the control group,the difference was statistically significant(P<0.05);after nursing,the quality of life score and nursing satisfaction of patients in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion In the nursing process of patients with type 2 diabetic nephropathy,the combined intervention of family participatory continuous nursing on the basis of cognitive behavioral intervention is beneficial to help patients with diabetic nephropathy to better realize the learning and thinking of relevant nursing knowledge.It has a good promotion effect on the optimization of patients’self-care ability and the improvement of prognosis quality of life.