认知行为护理干预对中青年维持性血液透析患者重返工作适应性、希望水平和自我管理行为的影响  

Influence of cognitive behavioral nursing intervention on return-to-work adaptability,hope level and self-management behaviors in young and middle-aged patients with maintenance hemodialysis

作　　者：孙宁[1] 张存存 胡高雪 闫路捷 梁冉 Sun Ning;Zhang Cuncun;Hu Gaoxue;Yan Lujie;Liang Ran(Blood Purification Center,Xuzhou No.1 People's Hospital,Xuzhou 221100,China)

机构地区：[1]徐州市第一人民医院血液净化中心,徐州221100

出　　处：《国际护理学杂志》2025年第5期788-793,共6页international journal of nursing

摘　　要：目的:探究认知行为护理干预对中青年维持性血液透析患者重返工作适应性、希望水平和自我管理行为的影响。方法:选取2021年1月至2023年12月徐州市第一人民医院收治的90例中青年维持性血液透析患者,采用随机信封法将上述患者分为观察组(n=45例,采用认知行为护理干预联合常规干预)和对照组(n=45例,采用常规干预),连续干预4周后比较两组患者重返工作适应性、希望水平、心理弹性、自我管理行为、代谢水平。结果:与干预前比较,干预后两组患者重返工作适应性得分均有升高,且观察组重返工作部分得分为(33.51±5.17)分相较于对照组的(30.74±5.22)分高,差异有统计学意义(P<0.05);与干预前比较,干预后两组患者希望水平得分均有升高,且观察组比对照组高,差异有统计学意义(P<0.05);与干预前比较,干预后两组患者心理弹性得分均有升高,且观察组比对照组高,差异有统计学意义(P<0.05);与干预前比较,干预后两组患者自我管理行为得分均有升高,且观察组比对照组高,差异有统计学意义(P<0.05);干预后,观察组血磷(1.57±0.31)mmol/L低于对照组的(1.70±0.29)mmol/L,血钙(2.30±0.25)mmol/L分高于对照组的(2.19±0.22)mmol/L,差异均有统计学意义(均P<0.05)。结论:认知行为护理干预对于中青年维持性血液透析患者而言,更能提升重返工作适应性、希望水平、心理弹性及自我管理行为能力,更有利于改善代谢水平。Objective To explore the effects of cognitive behavioral nursing intervention on the adaptability,hope level and self-management behaviors of young and middle-aged maintenance hemodialysis patients.Methods A total of 90 young and middle-aged patients with maintenance hemodialysis admitted to Xuzhou No.1 People's Hospital from January 2021 to December 2023 were selected and divided into the observation group with 45 cases(combined with cognitive behavioral nursing intervention and conventional intervention)and the control group with 45 cases(combined with conventional intervention)by random envelope method.After 4 weeks of continuous intervention,the two groups of patients were compared in terms of return-to-work adaptability,hope level,psychological resilience,self-management behaviors and metabolism level.Results Compared with before intervention,the scores of return-to-work adaptability in both groups of patients were increased after intervention.The score of return-to-work in the observation group was(33.51±5.17)points,which was higher than that in the control group[(30.74±5.22)points],and the difference was statistically significant(P<0.05).Compared with before intervention,the hope level scores of both groups were increased after intervention,and the observation group was higher than the control group,with statisticall significance(P<0.05).Compared to before the intervention,the psychological resilience scores of both groups increased after the intervention,with the observation group scoring higher than the control group,and the difference was statistically significant(P<0.05).Compared to before the intervention,the self-management behavior scores of both groups of patients increased after the intervention,with the observation group scoring higher than the control group,and the differences were statistically significant(P<0.05).After intervention,blood phosphorus was observed in the observation group[(1.57±0.31)mmol/L],which was lower than that of the control group[(1.70±0.29)mmol/L],and the serum calciu

关 键 词：维持性血液透析 认知行为护理干预 重返工作适应性 希望水平 自我管理行为 

分 类 号：R47[医药卫生—护理学]