认知评估联合细节干预对肾性骨病患者生活质量、负面情绪的影响
Effects of Cognitive Assessment Combined with Detailed Intervention on Quality of Life and Negative Emotion in Patients with Renal Bone Disease
刘志颖1
作者信息
- 1. 天津市第三中心医院肾病免疫科,天津 300171
- 折叠
摘要
目的:探讨认知评估联合细节干预对肾性骨病患者生活质量、负面情绪的影响.方法:选取我院2020年2月—2023年 1月收治的 70例肾性骨病患者为研究对象,应用随机数字表法将其分为观察组与对照组,每组35例.对照组实施常规护理,观察组在对照组基础上增加认知评估联合细节干预,对比 2组患者干预后的自护能力情况,干预前后血磷、血钙、尿素氮、血肌酐表达水平,负面情绪变化以及生活质量水平.结果:观察组患者合理饮食、血液透析认知、遵医嘱用药以及定期运动人数均高于对照组,组间差异有统计学意义(P<0.05);干预后,观察组血磷、血钙均降低,2组患者尿素氮、血肌酐水平均降低,观察组低于对照组,差异有统计学意义(P<0.05);2组患者汉密尔顿抑郁量表、汉密尔顿焦虑量表评分均较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05);2组患者世界卫生组织生存质量-100量表评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05).结论:认知评估联合细节干预可提升肾性骨病患者的自护能力,改善血磷、血钙及肾功能水平,减轻焦虑、抑郁负面情绪,提升患者生活质量.
Abstract
Objective:To explore the effect of cognitive assessment combined with detail intervention on the quality of life and negative emotions in patients with renal osteopathy.Methods:70 patients with renal osteopathy admitted to our hospital from February 2020 to January 2023 were selected as the research objects.They were divided into an observation group and a control group by the random number table method,with 35 cases in each group.The control group was given routine nursing,and the observation group was given cognitive assessment combined with detail intervention on the basis of the control group.The self-care ability of the two groups after intervention,the expression levels of blood phosphorus,blood calcium,urea nitrogen,and serum creatinine before and after intervention,the changes of negative emotions and the quality of life were compared.Results:The number of patients with reasonable diet,hemodialysis cognition,medication compliance and regular exercise in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After intervention,the levels of blood phosphorus and blood calcium in the observation group decreased,and the levels of urea nitrogen and serum creatinine in the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The Hamilton Depression Scale and Hamilton Anxiety Scale scores of the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The scores of the World Health Organization Quality of Life-100 scale of the two groups were higher than those before intervention,and the scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Cognitive assessment combined with detail intervention can improve the self-care ability of patients with renal bone disease,improve the levels of blood phosphorus,blood calcium and renal function,reduce negative emotions such as anxiety and depression,and improve the quality of life of patients.
关键词
认知评估/细节干预/肾性骨病/生活质量/负面情绪Key words
Cognitive assessment/Detail intervention/Renal osteopathy/Quality of life/Negative emotions引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据