认知行为导向护理干预在血液透析患者中应用的效果  

Effect of Cognitive-Behavioral Oriented Nursing Intervention in Hemodialysis Patients

作　　者：林燕娟 LIN Yanjuan(Hemodialysis Room,Luoyuan County Hospital,Fuzhou 350600,China)

机构地区：[1]罗源县医院血透室,福州350600

出　　处：《中国医药指南》2024年第26期66-69,共4页Guide of China Medicine

摘　　要：目的统计分析认知行为导向护理对血液透析患者的作用及价值。方法本研究以2022年1月至2023年1月时段我院收诊100例血液透析患者为观察对象,结合随机信封法开展对照组、观察组划分,均设定50个病例,对照组采取常规模式护理,观察组采取认知行为导向护理,比较组间自护能力、生活质量、肾功能情况以及健康知识掌握度。结果护理干预后,自我概念、自护责任感、自我护理技能、健康知识水平等各维度自护能力分值,均为观察组相比对照组更高(均P<0.05)。观察组干预后躯体功能、心理功能、社会功能等生活质量综合评定问卷(GQOLI)评分值均高于对照组(均P<0.05)。观察组干预后血肌酐(SCr)、尿素氮(BUN)、β2微球蛋白(β2-MG)等肾功能指标水平均低于对照组(均P<0.05)。观察组干预后疾病基础知识、治疗知识认知度、用药知识、注意事项分值均高于对照组(均P<0.05)。结论认知行为导向护理,有利于该类患者自我护理意识的建立与能力的强化,这也是提升患者及其家庭整体生活质量的有效途径,可在一定程度上改善肾功能。Objective To analyze the effect and value of cognitive-behavior-oriented nursing on hemodialysis patients.Methods In this study,100 hemodialysis patients were admitted from January 2022 to January 2023 as observation objects,and the control group and observation group were divided into 50 cases in combination with random envelope method.The control group received conventional nursing mode,while the observation group received cognitive-behavior-oriented nursing.Self-care ability,quality of life,renal function and health literacy were compared between groups.Results After the nursing intervention,the scores of self-care ability in each dimension,such as self-concept,self-care responsibility,self-care skills,and health knowledge level,were all higher in the observation group compared with the control group(all P<0.05).The generic quality of life inventory(GQOLI)score values of somatic functioning,psychological functioning,and social functioning were higher in the observation group compared to the control group after the intervention(all P<0.05).The levels of renal function indexes such as Serum creatinine(SCr),β2-microglobulin(β2-MG)and blood urea nitrogen(BUN)in the observation group were lower than those in the control group after intervention(all P<0.05).The scores of basic knowledge of disease,knowledge of treatment,knowledge of medication,and precautions were higher in the observation group than in the control group after intervention(all P<0.05).Conclusions Cognitive behavior oriented nursing is beneficial for the establishment of self-care awareness and strengthening of abilities in such patients,and it is also an effective way to improve the overall quality of life of patients and their families.It can improve kidney function to a certain extent.

关 键 词：认知行为 血液透析 肾功能 生活质量 自护能力 

分 类 号：R459.5[医药卫生—治疗学] R473.5[医药卫生—临床医学]