中医辨证施护联合心理护理在慢性肾小球肾炎患者中的应用  

Application of TCM syndrome differentiation and nursing combined with psychological nursing on patients with chronic glomerulonephritis

作　　者：兰丽丽[1] 张钘 孙琦[1] LAN Lili;ZHANG Xing;SUN Qi(Changzhou Hospital of Traditional Chinese Medicine,Changzhou,213003,China)

机构地区：[1]江苏省常州市中医医院肾病科,213003

出　　处：《护理实践与研究》2022年第19期2865-2869,共5页Nursing Practice and Research

基　　金：常州市科技计划项目(编号:CE20195039)。

摘　　要：目的探讨中医辨证施护联合心理护理干预对慢性肾小球肾炎患者的自我效能、负性情绪的干预效果。方法选择2018年7月—2021年7月收治的92例慢性肾小球肾炎患者为研究对象,按照时间顺序将患者分成对照组和观察组,其中2018年7月—2019年12月收治的46例慢性肾小球肾炎患者作为对照组,2020年1月—2021年7月收治的46例慢性肾小球肾炎患者列入观察组。对照组患者采用常规护理方法,观察组在常规护理的基础上采用中医辨证施护结合心理干预方法。比较两组的护理效果。结果护理干预后,两组患者肾功能(BUN、SCr)及血压(收缩压、舒张压、平均动脉压)、自我效能评估、负性情绪评价、依从性、生活质量评价(SF-36)评估等指标均有明显改善,但观察组改善程度均优于对照组,组间比较各项指标差异均有统计学意义(P<0.05)。结论通过对慢性肾小球肾炎患者采用中医辨证施护联合心理干预的护理模式,可改善患者的肾功能和平稳血压,增强患者自我效能感,提高患者对治疗康复的依从性,缓解患者负性情绪,提高患者生活质量。Objective To explore the effect of traditional Chinese medicine(TCM)dialectical nursing combined with psychological nursing intervention on the self-effi cacy and negative emotions of patients with chronic glomerulonephritis.Methods A total of 92 patients with chronic glomerulonephritis admitted from July 2018 to July 2021 were selected as the research objects,and the patients were divided into control group and observation group according to the admitted time.Among them,46 patients with chronic glomerulonephritis admitted from July 2018 to December 2019 were selected as the control group.From January 2020 to July 2021,46 patients with chronic glomerulonephritis were included in the observation group.Patients in the control group received routine nursing,patients in the observation group received traditional Chinese medicine dialectical nursing combined with psychological intervention on the basis of routine nursing.The nursing eff ects of the two groups were compared.Results After nursing intervention,renal function(BUN,SCr),blood pressure(systolic blood pressure,diastolic blood pressure,mean arterial blood pressure),self-efficacy assessment,negative emotion assessment,compliance,quality of life assessment(SF-36)assessment and other indicators of patients in the two groups were signifi cantly improved,but the improvement degree of the observation group was better than the control group,there were signifi cant diff erences in each index between groups(P<0.05).Conclusion The nursing model of TCM dialectical nursing combined with psychological intervention for patients with chronic glomerulonephritis could improve patients'renal function and stable blood pressure,enhance patients'self-effi cacy,improve the compliance to treatment and rehabilitation,relieve patients'negative emotions,and improve the quality of life.

关 键 词：中医辨证施护 心理护理 慢性肾小球肾炎 自我效能 负性情绪 

分 类 号：R473.5[医药卫生—护理学]