摘要
目的探讨认知行为护理干预对慢性肾衰竭血液透析治疗患者肾功能、焦虑抑郁情绪及生存质量的影响。方法选择2017年3月～2018年3月我院收治并行血液透析治疗的82例慢性肾衰竭患者作为研究对象,根据护理方式的不同分为研究组和对照组,每组各41例。对照组给予常规护理干预,研究组给予认知行为护理干预。比较两组患者护理前后的肾功能指标水平;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者护理前后焦虑、抑郁评分进行比较;采用健康调查量表(SF-36)对两组患者护理后的生存质量进行评分并比较。结果护理后,研究组患者的血清肌酐(Scr)、血尿素氮(BUN)水平低于对照组,SAS、SDS评分低于对照组,生存质量各维度评分高于对照组,差异均有统计学意义(P<0.05)。结论慢性肾衰竭患者血液透析治疗中开展认知行为护理干预的效果显著,能降低肾功能指标水平,缓解患者的焦虑、抑郁情绪,提高其生存质量,值得临床推广应用。
Objective To explore the influence of cognitive behavioral nursing intervention on renal function,anxiety and depression and quality of life in patients with chronic renal failure undergoing hemodialysis.Methods A total of 82 patients with chronic renal failure treated by hemodialysis in our hospital from March 2017 to March 2018 were select- ed as the research subjects,they were divided into study group and control group according to the different nursing methods,with 41 cases in each group.The control group was givenroutine nursing intervention,while the study group was given cognitive behavior nursing intervention.The levels of renal function indexes before and after nursing were compared between the two groups.Self-rating anxiety scale (SAS)and self-rating depression scale (SDS)were used to compare the anxiety and depression scores of the two groups before and after nursing.The quality of life of the two groups after nursing was scored and compared by health survey scale (SF-36).Results After nursing,the levels of SCr and BUN in the study group were lower than those in the control group,the scores of SAS and SDS were lower than those in the control group,and the scores of each dimension of quality of life were higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion The effect of cognitive behavior nursing inter- vention in hemodialysis treatment of chronic renal failure patients is remarkable.It can reduce the level of renal func- tion indicators,alleviate anxiety and depression of patients,and improve their quality of life.It is worthy of clinical application.
作者
周桂凤
ZHOU Gui-feng(Department of Nephrology,the First People's Hospital of Xianning City,Hubei Province,Xianning 437000,China)
出处
《中国当代医药》
2018年第35期203-205,共3页
China Modern Medicine
关键词
认知行为护理干预
慢性肾衰竭
血液透析
肾功能
焦虑
抑郁
生存质量
Cognitive behavioral nursing intervention
Chronic renal failure
Hemodialysis
Renal function
Anxiety
Depression
Quality of life
