健康教育联合焦点式心理护理在慢性肾衰竭患者中的应用效果

Effect of Health Education Combined with Focus Psychological Nursing in Patients with Chronic Renal Failure

目的探究健康教育联合焦点式心理护理在慢性肾衰竭(CRF)患者中的应用效果。方法选取2019年7月至2021年7月郑州市第九人民医院收治的80例CRF患者为研究对象,采用随机数字表法分为对照组和观察组,各40例。对照组接受健康教育及常规护理方法,观察组接受健康教育联合焦点式心理护理方法。评估两组患者的用药依从性,对比干预前后的健康教育知识掌握程度、负性情绪和生活质量。结果观察组总用药依从率[95.00%(38/40)]高于对照组[80.00%(32/40)](P<0.05)。干预2个月后,观察组对CRF诊断知识、健康饮食、日常生活禁忌及CRF并发症的掌握程度和总体生活质量评分高于对照组(P<0.05)。干预及随访期间,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分随时间延长而逐渐降低,且观察组低于对照组(P<0.05)。结论健康教育联合焦点式心理护理可以有效提高CRF患者的用药依从性和CRF相关健康教育知识,降低焦虑抑郁情绪,从而在整体上改善患者生活质量。

Objective To explore the effect of health education combined with focus psychological nursing in patients with chronic renal failure(CRF).Methods A total of 80 CRF patients admitted in the Ninth People’s Hospital of Zhengzhou from July 2019 to July 2021 were selected as the study subjects,and they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group adopted health education and routine nursing method,and the observation group adopted health education combined with focus psychological nursing method.The medication compliance of the two groups was evaluated,and the mastery of health education knowledge,negative emotion and quality of life were compared before and after intervention.Results The total medication compliance rate in the observation group[95.00%(38/40)]was higher than that in the control group[80.00%(32/8)](P<0.05).Two months later,the knowledge of CRF diagnosis,healthy diet,daily life contraindications,CRF complications and overall quality of life score in the observation group were higher than those in the control group(P<0.05).During intervention and follow-up,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores in two groups decreased gradually with time,and the scores in observation group were lower than those in the control group(P<0.05).Conclusion Health education combined with focus psychological nursing can effectively improve the medication compliance and CRF-related health education knowledge of patients with CRF,reduce anxiety and depression,and improve the overall quality of life of patients.