心理行为干预联合营养护理对终末期肾衰竭血液透析患者的影响  

Effect of psychological behavioral intervention combined with nutritional care on hemodialysis patients with end-stage renal failure

作　　者：胡爱贤 魏丽 白露 周小柳 朱颖 HU Aixian;WEI Li;BAI Lu;ZHOU Xiaoliu;ZHU Ying(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海市中医药大学附属上海市中医医院,上海市200071

出　　处：《护理实践与研究》2024年第12期1891-1896,共6页Nursing Practice and Research

摘　　要：目的探讨心理行为干预联合营养护理对终末期肾衰竭血液透析患者肾功能、心理弹性及免疫功能的影响,为临床应用提供参考。方法选取2020年1月—2022年5月在医院行终末期肾衰竭血液透析治疗的100例患者为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组50例。对照组患者给予常规护理干预,观察组在常规护理干预基础上实施心理行为干预联合营养护理。采用血清肌酐(Scr)、血清尿素氮(BUN)评估患者肾功能;采用心理弹性量表评定患者心理弹性;采用免疫球蛋白IgG、IgA、IgM评估患者免疫功能。对比两组患者肾功能、心理弹性及免疫功能状况。结果干预前,两组患者血清肌酐、血清尿素氮水平比较差异无统计学意义(P>0.05);干预后,观察组患者血清肌酐、血清尿素氮均较对照组低,差异具有统计学意义(P<0.05)。干预前,两组患者乐观、力量、坚韧、心理弹性总分比较差异无统计学意义(P>0.05);干预后,观察组患者乐观、力量、坚韧、心理弹性总分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者免疫功能IgA、IgG、IgM水平比较差异无统计学意义(P>0.05);干预后,观察组患者IgA、IgG、IgM水平均高于对照组,差异有统计学意义(P<0.05)。结论心理行为干预联合营养护理应用于终末期肾衰竭血液透析患者中,可有效改善终末期肾衰竭血液透析患者肾功能,同时可以增强患者心理弹性,促进患者免疫功能的恢复。Objective To explore the effects of psychological behavioral intervention combined with nutritional care on renal function,psychological resilience and immune function in hemodialysis patients with end-stage renal failure,and to provide a reference for clinical application.Methods A total of 100 patients with endstage renal failure who underwent hemodialysis treatment in the hospital from January 2020 to May 2022 were selected as the research subjects.According to the principle of comparability of basic data between groups,the patients were divided into a control group and an observation group,with 50 cases in each group.In the control group,patients received conventional nursing interventions,while the observation group received psychological behavioral interventions combined with nutritional care in addition to the conventional nursing interventions.Serum creatinine(Scr)and blood urea nitrogen(BUN)were used to evaluate the patients'renal function;the Psychological Resilience Scale was used to assess the psychological resilience;and immunoglobulins IgG,IgA,and IgM were used to evaluate the patients'immune function.The renal function,psychological resilience and immune function status were compared between the two groups of patients.Results Before the intervention,there was no statistically significant difference in the levels of Scr and BUN between the two groups(P>0.05).After the intervention,the Scr and BUN in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the scores of optimism,strength,resilience,and total scores of psychological resilience between the two groups(P>0.05).After the intervention,the scores of optimism,strength,resilience,and total score of psychological resilience in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significan

关 键 词：心理行为干预 营养护理 终末期肾衰竭 血液透析 肾功能 心理弹性 免疫功能 

分 类 号：R473.5[医药卫生—护理学]