首页|认知行为疗法护理对尿毒症腹膜透析患者疾病不确定感、应对方式的影响

认知行为疗法护理对尿毒症腹膜透析患者疾病不确定感、应对方式的影响

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目的 探讨认知行为疗法护理对尿毒症腹膜透析患者疾病不确定感、应对方式影响.方法 选取2019 年1 月至2021 年4 月在无锡市第二人民医院接受腹膜透析治疗的尿毒症患者90 例为研究对象,随机将其分为对照组和观察组,每组45 例.对照组患者在腹膜透析期间接受常规护理,观察组患者在腹膜透析期间给予认知行为疗法护理,比较两种护理方法对患者疾病不确定感、应对方式及希望水平的影响.结果 观察组的疾病不确定感显著低于对照组,差异有统计学意义(P<0.05);护理后观察组患者的应对方式,观察组评分明显优于对照组,差异有统计学意义(P<0.05);两组患者护理后的希望水平评分均显著高于护理前,观察组护理后患者的希望水平评分高于对照组,差异有统计学意义(P<0.05).结论 将认知行为疗法护理运用在尿毒症腹膜透析患者的临床护理上优势显著,既有利于预防和降低疾病不确定感的发生,又可以提高患者的希望水平,从整体上改善患者的应对方式,因此,此种护理方法具备临床借鉴意义和推广的价值.
Impact of cognitive behavioral therapy care on disease uncertainty,coping styles in uremic peritoneal dialysis patients
Objective To explor the effects of cognitive behavioral therapy nursing on disease uncertainty and coping styles in uremic peritoneal dialysis patients.Methods A total of 90 patients with hemodialysis treatment in this hospital from January 2019 to April 2021 were studied as the object,divided into two groups,45 cases per group according to the principle of random digital table.The control group received conventional care during hemodialysis,and the patients in the observation group were cognitiv behanioral cane during hemodialysis,compared the two nursing methods to affect the uncertainty,response mode and hoping level of patient diseases.Results The sense of uncertainty about the disease in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05);the coping styles of the patients in the observation group after nursing care,the scores of the observation group were significantly better than that of the control group,and the difference was statistically significant(P<0.05);the hope level of the patients in the two groups after nursing care were significantly higher than those before nursing care,and the hope level of the patients in the observation group after nursing care were higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Cognitive behavioral therapy nursing care in the clinical care of uremic peritoneal dialysis patients has significant advantages,which is not only conducive to preventing and reduc-ing the occurrence of disease uncertainty,but also can increase the patient's hope level,and improve the patient's coping style,so this nursing method has the clinical significance and value of promotion.

Cognitive behavioral careUremia peritoneal dialysisDisease uncertainty

朱晓燕、陈莹青

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无锡市第二人民医院肾内科,无锡 214000

无锡市第二人民医院血透室,无锡 214000

认知行为疗法护理 尿毒症 腹膜透析 疾病不确定感

无锡市卫生健康委项目

Q201932

2024

国际护理学杂志
中华医学会 吉林省医学期刊社

国际护理学杂志

影响因子:1.337
ISSN:1673-4351
年,卷(期):2024.43(2)
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