基于自我调节下的疾病感知护理结合耳穴贴压对尿毒症维持性血液透析患者睡眠质量及疾病感知压力的影响

Effects of disease perception nursing based on self-regulation combined with auricular point sticking on sleep quality and disease perception pressure in patients with uremia maintenance hemodialysis

目的探讨基于自我调节下的疾病感知护理结合耳穴贴压对尿毒症维持性血液透析患者睡眠质量及疾病感知压力的影响。方法选取2021年1月至2023年1月收治的160例尿毒症维持性血液透析患者为研究对象,根据随机数字表法将其分为对照组和观察组,各80例。对照组采用常规护理干预,观察组在对照组基础上加基于自我调节下的疾病感知护理结合耳穴贴压护理。比较两组的睡眠质量、负性情绪、疾病感知压力及生存质量。结果干预后,观察组的匹兹堡睡眠质量指数(PSQI)各维度评分低于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)、压力感知量表(PSS)评分低于对照组(P<0.05)。干预后,观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组(P<0.05)。结论基于自我调节下的疾病感知护理结合耳穴贴压不仅能够提升尿毒症维持性血液透析患者的睡眠质量,还能减轻疾病感知压力,改善生存质量,值得推广。

Objective To investigate the effects of disease perception nursing based on self-regulation combined with auricular point sticking on sleep quality and disease perception pressure in patients with uremia maintenance hemodialysis.Methods A total of 160 patients with uremia maintenance hemodialysis admitted from January 2021 to January 2023 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 80 cases in each group.The control group was given routine nursing intervention,and the observation group was given disease perception nursing based on self-regulation combined with auricular point sticking nursing on the basis of the control group.The sleep quality,negative emotion,disease perception pressure and quality of life were compared between the two groups.Results After intervention,the scores of each dimension of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Perceived Stress Scale(PSS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of the World Health Organization Quality of Life-BREF(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).Conclusion The disease perception nursing based on self-regulation combined with auricular point sticking can not only promotion the sleep quality of uremic maintenance hemodialysis patients,but also reduce the disease perception pressure and improve the quality of life,which is worthy of promotion.