首页|慢性肾功能衰竭应用中医特色延伸干预对患者生存质量及心理状况的影响

慢性肾功能衰竭应用中医特色延伸干预对患者生存质量及心理状况的影响

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目的:分析慢性肾功能衰竭应用中医特色延伸干预对患者生存质量及心理状况的影响.方法:选择2021年6月~2023年5月我院收治的慢性肾功能衰竭患者150例纳入研究,分为试验组、对照组,各75例,方法为随机数字表法.试验组接受基于中医特色延伸干预、对照组接受常规延伸干预,两组均干预4周.比较两组干预前、干预4周后生存质量、舒适度、心理状况、睡眠、肾功能,干预4周后护理满意度,干预期间不良反应发生情况.结果:与干预前比较,干预4周后两组健康调查简表-36(SF-36)、Barthel指数(BI)、舒适状况量表(GCQ)评分,血清血红蛋白(Hb)、白蛋白(ALB)水平升高,且试验组更高(P<0.05).与干预前比较,干预4周后两组抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)评分,血清尿素氮(BUN)、血肌酐(Scr)水平均降低,且试验组更低(P<0.05).干预4周后试验组满意度高于对照组(92.00%vs 78.67%,P<0.05).干预期间,两组不良反应发生率比较,试验组更低(4.00%vs 16.00%,P<0.05).结论:基于中医特色延伸干预可提高慢性肾功能衰竭患者生存质量、舒适度,改善心理状况、睡眠及肾功能,控制不良反应的发生,获得患者认可.
Effect of extended intervention of traditional Chinese medicine characteristics on quality of life and psychological status of patients with chronic renal failure
Objective To analyze the effects of extended intervention of traditional Chinese medicine characteristics on quality of life and psychological status of patients with chronic renal failure.Methods 150patients with chronic renal failure admitted to our hospital from June 2021to May 2023were included in the study,and were divided into the experimental group and the control group,with 75patients in each group,using random number table method.The experimental group received extended intervention based on traditional Chinese medicine characteristics and the control group received conventional extended intervention.Both groups were intervened for 4weeks.The quality of life,comfort,psychological status,sleep and renal function before and after the intervention for 4weeks,the nursing satisfaction after the intervention for 4weeks,and the occurrence of adverse reactions during the intervention of the two groups were compared.Results Compared with before intervention,after 4weeks of intervention,scores of Health Survey Summary Form 36(SF-36),Barthel Index(BI),Comfort Status Scale(GCQ),the levels of serum hemoglo-bin(Hb)and albumin(ALB)in the two groups increased,and those in the experimental group were higher(P<0.05).Com-pared with before intervention,after 4weeks of intervention,the levels of serum urea nitrogen(BUN)and blood creatinine(Scr),scores of self-rating Depression Scale(SDS),self-rating Anxiety Scale(SAS)and Pittsburgh Sleep Quality Index(PSQI)in the two groups decreased,and the levels in the experimental group were lower(P<0.05).After 4weeks of interven-tion,the satisfaction of the experimental group was higher than that of the control group(92.00%vs 78.67%,P<0.05).During the intervention period,the incidence of adverse reactions was lower in the experimental group(4.00%vs 16.00%,P<0.05).Conclusion Extended intervention based on traditional Chinese medicine characteristics could improve the quality of life and com-fort of patients with chronic renal failure,improve psychological status,sleep and renal function,control the occurrence of adverse reactions,and gain the recognition of patients.

Chronic renal failureTraditional Chinese MedicineExtended interventionQuality of lifePsychological sta-tusSleep

李妮、杨朝阳、魏国华

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空军军医大学唐都医院肾脏内科,陕西西安 710032

慢性肾功能衰竭 中医 延伸干预 生存质量 心理状况 睡眠

陕西省自然科学基础研究计划

2019JM-033

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(5)
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