慢性肾脏病透析前认知干预对患者治疗依从性与疾病改善效果的影响  

Effect of pre-dialysis cognitive intervention on treatment compliance and disease improvement in patients with chronic kidney disease

作　　者：李晓[1] 李丽芹[1] 张家慧 LI Xiao;LI Li-qin;ZHANG Jia-hui

机构地区：[1]无锡市人民医院肾内科,无锡市214023

出　　处：《护理实践与研究》2018年第22期50-51,共2页Nursing Practice and Research

摘　　要：目的分析慢性肾脏病透析前认知干预对患者治疗依从性与疾病改善效果。方法选取2016年2月至2017年2月我院收治的110例患者为研究对象,随机将其等分为研究组和对照组,对照组给予常规护理,研究组实施透析前认知干预。比较两组患者治疗依从性、血清肌酐(SCr)及内生肌酐清除值(Ccr)改善情况。结果干预后两组患者SCr较干预前低(P <0. 05),Ccr较干预前高(P <0. 05),且研究组SCr较对照组低(P <0. 05),Ccr较对照组高(P <0. 05);研究组患者治疗依从性明显优于对照组。结论透析前认知干预可有效提高慢性肾脏病透析患者的治疗依从性,改善其疾病症状,值得临床推广应用。Objective To analyze the effect of pre-dialysis cognitive intervention on treatment compliance and disease improvement in patients with chronic kidney disease. Methods To compare the status of improvement of treatment compliance, serum creatinine （SCr） and endogenous creatinine clearance （Ccr）, 110 cases of patients admitted to our hospital from February 2016 to February 2017 were observed, and were randomly divided into study group and control group with equal members. The control group adopted routine nursing, while the study adopted the pre-dialysis cognitive intervention. Results After intervention, the SCr of the two groups was lower than that before the intervention（ P ＜0.05）, and the Ccr was higher than that before the intervention（ P ＜0.05）.The SCr of the study group was lower than that of the control group（ P ＜0.05）, and the Ccr was higher than that of the control group（ P ＜0.05）.The treatment compliance of the study group was significantly better than that of the control group. Conclusion The application of pre-dialysis cognitive intervention could effectively improve the treatment compliance of patients with chronic kidney disease and improve their disease symptoms,which was worthy of clinical promotion and application.

关 键 词：慢性肾脏病 透析前 认知干预 依从性 症状改善 效果分析 

分 类 号：R473.5[医药卫生—护理学]