叙事化心理护理模式在终末期肾病患者血液净化中的应用效果

Application Effect of Narrative Psychological Nursing Model in Blood Purification of Patients with End-Stage Renal Disease

目的:探讨叙事化心理护理模式在终末期肾病患者血液净化中的应用效果。方法:将2022年10月—2024年1月于镇江市第一人民医院行血液净化的86例终末期肾病患者随机分为对照组(n=43,常规护理)、观察组(n=43,在对照组基础上联用叙事化心理护理)。对比两组护理效果。结果:与对照组比较,观察组不良反应总发生率更低,护理总满意度更高(P<0.05)。护理后,两组焦虑、抑郁评分下降,与对照组比较,观察组评分更低(P<0.05)。护理后,两组生理职能、生理功能、情感职能、社会职能、Morisky用药依从性问卷评分升高,与对照组比较,观察组评分更高(P<0.05)。结论:叙事化心理护理模式在终末期肾病患者血液净化中的应用效果良好,可改善患者心理情绪、生活质量、依从性,减少不良反应,患者满意度较高。

Objective:To explore the application effect of narrative psychological nursing model in blood purification of patients with end-stage renal disease.Methods:A total of 86 patients with end-stage renal disease who underwent blood purification in Zhenjiang First People's Hospital from October 2022 to January 2024 were randomly divided into the control group(n=43,using conventional nursing model)and the observation group(n=43,using narrative psychological nursing model on the basis of the control group).The nursing effects of the two groups were compared.Results:Compared with the control group,the observation group had a lower total incidence of adverse reactions and a higher total satisfaction with nursing(P<0.05).After nursing,the scores of anxiety and depression scale decreased in two groups,and the scores of observation group compared to control group were lower(P<0.05).After nursing,the scores of physiological functioning,physiological function,emotional function,social function,and Morisky medication adherence questionnaire increased in two groups,and the scores of observation group compared to control group were higher(P<0.05).Conclusion:The application of narrative psychological nursing model has a good effect in blood purification of patients with end-stage renal disease,and can improve patients'psychological mood,quality of life and adherence,reduce adverse reactions,and have high patient satisfaction.