摘要
目的探究对采用血液透析治疗慢性肾衰患者应用认知行为护理干预对其肾功能改善以及生存质量提升所产生的影响。方法该次研究方便选取自2016年5月—2017年9月间该院肾内科收治的慢性肾衰患者91例,依照患者所应用护理方式的差异将所选对象分为常规护理组(n=45)、认知护理组(n=46),所选对象均接受常规治疗以及常规护理干预,认知护理组患者在此护理基础上同时应用认知行为护理干预,对比2组患者肾功能指标以及生活质量。结果护理后认知护理组BUN为(7.43±1.26)μmol/L,常规护理组为(9.96±1.51)μmol/L,2组差异有统计学意义(t=5.252 7,P=0.013 5),认知护理组Scr为(239.98±12.67)mmol/L,常规护理组Scr为(289.60±23.57)mmol/L,2组差异有统计学意义(t=12.546 1,P=0.023 7)。护理后认知护理组患者总体健康、精神状况、情感限定等各项观察项目评分均明显高于常规护理组,差异有统计学意义(P<0.05)。结论对采用血液透析治疗慢性肾衰患者应用认知行为护理干预能够使患者的肾功能得到改善同时提升患者的生活质量。
Objective To explore the effect of using cognitive therapy on patients with chronic renal failure treated with hemodialysis to improve their renal function and improve their quality of life. Methods This study included 91 patients with chronic renal failure who were treated in the department of nephrology between May 2016 and September 2017. The subjects were convenient selected and divided into routine care groups according to the differences in the care methods used by the patients （n=45）. In the cognitive nursing group （n=46）, the selected subjects received conventional treatment and conventional nursing intervention. The cognitive nursing group patients were also treated with cognitive behavioral nursing intervention on the basis of this nursing care. The kidney function indexes, quality of life of the two groups were compared. Results After nursing, BUN was （7.43±1.26） μmol/L in the cognitive nursing group and （9.96±1.51） μmol/L in the routine nursing group. The difference between the two groups was statistically significant （t=5.252 7, P=0.013 5）. Scr was （239.98±12.67） mmol/L in the nursing group and （289.60±23.57） mmol/L in the regular care group. The difference between the two groups was statistically significant （t=12.546 1, P=0.023 7）. The scores of observation items such as general health, mental status, and emotional limits of the post-care cognitive nursing group were significantly higher than that of the routine nursing group, with a significant difference （P〈0.05）. Conclusion The use of hemodialysis in the treatment of patients with chronic renal failure using cognitive behavioral care intervention can improve the patient＇s renal function and improve the quality of life of patients.
作者
魏文芬
WEI Wen-fen(Department of Cardiology,Second People＇s Hospital of Qujing City,Qujing,Yunnan Province,655000 China)
出处
《中外医疗》
2018年第25期171-172,183,共3页
China & Foreign Medical Treatment
关键词
认知行为护理干预
慢性肾衰
血液透析治疗
肾功能
bCognitive behavior Nursing intervention
Chronic renal failure
Hemodialysis
Renal function
