认知行为护理干预对慢性肾衰竭血液透析治疗患者焦虑抑郁情绪及生活质量的影响  

Effect of cognitive behavioral nursing intervention on anxiety,depression and quality of life of patients with chronic renal failure undergoing hemodialysis

作　　者：冯伟平[1] 苏彦[1] 张东成[1] 王靖淇 FENG Weiping;SU Yan;ZHANG Dongcheng;WANG Jingqi(Nephrology Department,Liaoning Provincial People’s Hospital,Shenyang 110016,China)

机构地区：[1]辽宁省人民医院肾病学科

出　　处：《长春中医药大学学报》2020年第1期140-143,共4页Journal of Changchun University of Chinese Medicine

基　　金：国家自然科学基金项目(81702622)

摘　　要：目的探讨认知行为护理干预对慢性肾衰竭血液透析患者焦虑抑郁情绪及生活质量的影响。方法选取2018年5月-2019年2月我院收治的慢性肾衰竭血液透析治疗患者78例,依据随机数字表法随机分为对照组和观察组,各39例。对照组给予常规护理干预,观察组给予认知行为护理干预。比较治疗后2组焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力、SF-36评分,并对比2组护理满意度。结果与对照组比较,观察组的SAS、SDS评分更低(P<0.05);经护理干预后,观察组较对照组具有更强的自我护理能力(P<0.05);观察组较对照组的生活质量评分变化更显著(P<0.05);观察组护理满意度显著高于对照组(P<0.05)。结论认知行为护理干预可以改善慢性肾衰竭血液透析治疗患者的临床症状和体征,舒缓患者的焦虑抑郁情绪,提高自我护理能力和生活质量,增加患者护理满意度,对于慢性肾衰竭患者有较好的护理效果,值得临床推广应用。Objective To investigate the effect of cognitive behavioral nursing intervention on anxiety,depression and quality of life of patients with chronic renal failure undergoing hemodialysis.Methods A total of 78 patients with chronic renal failure undergoing hemodialysis admitted to our hospital from May 2018 to February 2019 were randomly divided into treatment group and control group,with 39 cases in each group,according to the table of random number.The control group was treated with routine nursing intervention,while the treatment group was treated with cognitive behavioral nursing intervention on the basis of the control group.One month is one course of treatment and the patients in both groups were treated for 2 courses.The scores of SAS,SDS,the improvement of self-care ability,and the scores of SF-36 and nursing satisfaction were compared between the two groups after treatment.Results Compared with the control group,the SAS and SDS scores of the treatment group were lower(P<0.05);after nursing intervention,the treatment group had stronger self-care ability than the control group(P<0.05);the change of the quality of life in the treatment group was significantly different than that in the control group(P<0.05);the nursing satisfaction in the treatment group was significantly higher than that in the control group(P<0.05).Conclusion The cognitive behavioral nursing intervention can improve the clinical symptoms and signs of patients with chronic renal failure undergoing hemodialysis,relieve anxiety and depression of patients,improve self-care ability and quality of life,and increase the nursing satisfaction.It has good nursing effect for patients with chronic renal failure and is worthy of clinical promotion and application.

关 键 词：认知行为护理 慢性肾衰竭 焦虑 抑郁 自我护理能力 

分 类 号：R473.5[医药卫生—护理学]