首页|认知行为护理联合营养指导对慢性肾衰竭血液透析患者依从性及营养状态的影响

认知行为护理联合营养指导对慢性肾衰竭血液透析患者依从性及营养状态的影响

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目的 探讨认知行为护理联合营养指导对慢性肾衰竭血液透析患者依从性及营养状态的影响.方法 选取2022 年1 月—2023年10月北京市顺义区医院收治的 88 例慢性肾衰竭血液透析患者为研究对象,按随机数字表法将其分为对照组和观察组,各 44 例.对照组采取常规护理,观察组在对照组基础上采取认知行为护理联合营养指导,两组均护理3 个月.对比两组的依从性、营养状态、肾功能.结果 观察组总依从率为 95.45%,高于对照组的 79.55%,差异有统计学意义(P<0.05).护理后,两组血清白蛋白、转铁蛋白及前白蛋白水平均高于护理前,且观察组均高于对照组,差异有统计学意义(P<0.05);两组血尿酸、血尿素氮及血清肌酐水平均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05).结论 认知行为护理联合营养指导能有效提升慢性肾衰竭血液透析患者的依从性,促进其营养状态及肾功能改善.
Effect of Cognitive-Behavioral Nursing Combined with Nutritional Guidance on Compliance and Nutritional Status of Hemodialysis Patients with Chronic Renal Failure
Objective Exploring the effects of cognitive-behavioral nursing combined with nutritional guidance on the compliance and nutritional status of hemodialysis patients with chronic renal failure.Methods A total of 88 patients with chronic renal failure undergoing hemodialysis admitted to Beijing Shunyi District Hospital from January 2022 to October 2023 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 44 cases in each group.The control group received routine nursing,while the observation group received cognitive-behavioral nursing combined with nutritional guidance on the basis of the control group,both groups received 3 months of nursing.Compare the compliance,nutritional status,and renal function between two groups.Results The total compliance rate of the observation group was 95.45%,which was higher than 79.55%of the control group,the difference was statistically significant(P<0.05).After nursing,the levels of serum albumin,transferrin,and prealbumin in both groups were higher than those before nursing,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the levels of uric acid,blood urea nitrogen,and serum creatinine in both groups were lower than those before nursing,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Cognitive-behavioral nursing combined with nutritional guidance can effectively improve the compliance of hemodialysis patients with chronic kidney failure,promote their nutritional status and renal function improvement.

Chronic renal failureHemodialysisCognitive-behavioral nursingNutritional guidanceComplianceNutritional status

马明宣

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北京市顺义区医院肾内科,北京顺义 101300

慢性肾衰竭 血液透析 认知行为护理 营养指导 依从性 营养状态

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(13)