认知行为干预在减少维持性血液透析患者急诊透析中的作用  

Influence of cognitive behavioral therapy in reducing emergent hemodialysis for maintained hemodialysis patients

作　　者：王饶萍[1] 成守珍[2] 黎渐英[3] 叶晓青[1] 王路英[1] 

机构地区：[1]中山大学附属一院肾内科血液净化中心,广州510080 [2]中山大学附属一院护理部,广州510080 [3]中山大学附属一院腹膜透析中心,广州510080

出　　处：《中华现代护理杂志》2008年第28期2969-2971,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨认知行为干预（CBT）对减少维持性血液透析（MHD）患者急诊透析发生率的影响。方法收集2004年1月-2005年12月在行MHD的230例患者为对照组。2006年开始对患者实施CBT，将2006年1月-2007年12月行MHD的230例患者为实验组，对两组发生急诊透析的原因、两组患者非常规透析时间来医院急诊透析的发生率、两组患者对健康教育内容掌握程度、透析间期体重控制情况进行比较分析。结果实验组急诊透析的发生率0．08％，对照组为0．16％；实验组对健康教育内容掌握程度100％，对照组为43．3％；实验组体重控制率99％，对照组为45％；两组比较差异均有统计学意义（P〈0．05）。结论CBT可减少MHD患者急诊血透诱因，从而降低急诊血透发生率，从而减轻患者的经济负担，提高患者生活质量。Objective To explore the influence of cognitive behavioral therapy （CBT） in reducing the incidence of emergent hemodialysis for maintained hemodialysis （MHD） patients. Methods 230 patients （64 325 times）with MHD between 2004 and 2005（ control group） were received daily hemodialysis nursing routine. 230 patients（65 157 times）with MHD between 2006 and 2007 have undergone CBT （experiment group）： The reasons, incidence of emergent dialysis happened in these patients, the status of mastering knowledge and weight-control were analysed. Results The incidence of emergent dialysis at irregular HD time in experiment group group was 0. 08% compared with 0.16% in control group. 100% patients in experiment group mastered the knowledge from health education comparing to 43.3% in control group. The rate of controlling body weight showed higher in ezperiment group（99% ） than in control group （45%）. The result showed that there were significant differences in these three aspects between control group and trial group. Conclusions CBT can reduce the inducing factors of emergent dialysis, relieve patients＇ economic burden, and improve patients＇ life quality.

关 键 词：血液透析 急诊 行为疗法 认知 

分 类 号：R473.5[医药卫生—护理学]