协同联合认知行为护理在慢性肾病患者中的应用效果  

Application of collaborative cognitive behavioral nursing in patients with chronic kidney disease

作　　者：霍婷婷 任晓东[1] 杨晓静[1] 冷育清[1] HUO Tingting;REN Xiaodong;YANG Xiaojing;LENG Yuqing(Department of Nephrology,the First Affiliated Hospital of Hebei North University,Hebei Province,Zhangjiakou,075000,China)

机构地区：[1]河北北方学院附属第一医院肾内科,河北张家口075000

出　　处：《中国医药导报》2018年第31期172-175,共4页China Medical Herald

基　　金：河北省卫计委医学科学研究重点课题计划项目(20170782)

摘　　要：目的探讨协同联合认知行为护理在慢性肾病(CKD)患者中的应用。方法选取2015年5月～2017年5月河北北方学院附属第一医院收治的CKD患者120例,按随机数字表法分为观察组和对照组,每组各50例,观察组采用协同联合认知行为护理方式进行护理干预,对照组以常规护理方式干预,比较两组患者干预前后的肾功能指标、自我护理能力和依从性。结果干预前两组患者自我护理能力中自我护理技能、自我概念、自我责任感、健康知识水平各方面评分比较差异无统计学意义(P> 0.05),干预后对照组自我责任感、健康知识水平较干预前得到改善(P <0.05),观察组自我概念、自我责任感、健康知识水平较干预前得到改善(P <0.05);干预后观察组在自我护理技能、自我责任感方面得分显著高于对照组(P <0.05)。干预前两组患者的肾功能指标比较差异无统计学意义(P> 0.05),干预后两组均得到改善(P <0.05),且观察组尿素氮(BUN)、24 h尿蛋白定量以及血肌酐(Scr)显著低于对照组(P <0.05)。观察组治疗总依从率96.0%,明显高于对照组的66.0%(P <0.05)。结论协同联合认知行为护理有助于改善CKD患者肾功能,提高自身护理能力,提高治疗的依从性,建议临床推广。Objective To investigate the application of collaborative cognitive behavioral nursing in patients with chronic kidney disease （CKD）. Methods A total of 120 patients with CKD treated in the First Affiliated Hospital of Hebei North University from May 2015 to May 2017 were collected and divided into observation group and control group according to the random number table method, with 50 cases in each group. The observation group was treated with collaborative cognitive behavioral nursing and the control group was treated with conventional care. Renal function index, self-care ability and compliance before and after interlention were compared between the two groups. Results Before intervention, self-care ability containing self-care skill, self-concept, self-responsibility, health knowledge level of the two groups had no significant difference （P 〉 0.05）; after intervention, self-responsibility and health knowledge level were improved compared to those before intervention in the control group （P 〈 0.05）, self-concept, self-responsibility, health knowledge level in the observation group were improved compared with those before intervention （P 〈 0.05）; after intervention, scores of self-care skill and self-responsibility in the observation group were higher than those in the control group （P 〈 0.05）. Before intervention, there was no significant difference in the renal function between the two groups （P 〉 0.05）, while after intervention, the two groups′ renal function improved compared with those before intervention （P 〈 0.05）, and urea nitrogen （BUN）, 24 h urine protein and serum creatinine （Scr） in obseroation group were lower than those in the control group （P 〈 0.05）. The total compliance rate in the observation group was 96.0%, significantly higher than that in the control group （66.0%） （P 〈 0.05）. Conclusion Collaborative cognitive behavioral nursing is helpful to improve the renal function of patients with CKD, which improves their nursing abili

关 键 词：慢性肾病 协同联合认知行为 疗效观察 依从性 

分 类 号：R473[医药卫生—护理学]