Effect of psychological nursing combined with comfort nursing intervention on self-management ability of patients with renal failure complicated with cardiovascular disease during dialysis treatment
OBJECTIVE To explore the effect of psychological nursing combined with comfort nursing model on self-management ability of patients with renal failure complicated with cardiovascular disease during dialysis treatment.METHODS A total of 70 patients with renal failure complicated with cardiovascular disease who received dialysis treatment in Hemodialysis Department from June 2022 to December 2023 were selected as the research objects,and grouped by random number table method.35 patients in the conventional group recieved traditional nursing,and 35 patients in the combined group recieved psychological nursing combined with comfort nursing based on traditional nursing.The psychological status,individual comfort,self-efficacy and daily living ability of the two groups were compared before and after nursing.RESULTS Before intervention,there was no significant difference in the score of symptom checklist 90(SCL-90)between the conventional group and the combined group(P>0.05).After intervention,the scores of different dimensions in the combined group were improved(P<0.05),which were significantly different from those in the conventional group(P<0.05).After the intervention,the general comfort questionnaire(GCQ)scores of the two groups were significantly increased(P<0.05),while the scores of the physiological,psychological,sociocultural and environmental dimension were significantly improved in the combined group compared with those in the conventional group(P<0.05).After the intervention,the scores of chronic disease self-efficacy scale(CDSES)and activity of daily living scale(ADL)were significantly improved in the two groups(P<0.05),and the scores in the combined group were significantly higher than those in the conventional group(P<0.05).CONCLUSIONS Psychological nursing combined with comfortable nursing can effectively improve the self-management ability of patients with renal failure complicated with cardiovascular disease during dialysis,and improve the quality of life and psychological status of patients,and it is worthy of further promotion and application in clinical practice.