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认知行为护理在诱导期血液透析患者中的应用效果

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目的 探讨认知行为护理在诱导期血液透析患者中的应用效果.方法 选取 2022 年 7 月—2023 年 2 月在福建省泉州市第一医院进行治疗的 90 例血液透析患者作为研究对象.使用随机数字表法将所有患者分为对照组与观察组,各45 例.对照组患者进行常规护理,而观察组患者在常规护理的基础上进行认知行为护理.比较 2 组护理前后抑郁自评量表(self-rating depression scale,SDS)和焦虑自评量表(self-rating anxiety scale,SAS)评分、生活质量评分.结果 护理后,观察组SDS、SAS评分分别为(32.44±5.31)分、(34.21±3.42)分,低于对照组的(44.51±4.21)分、(47.31±4.61)分,差异有统计学意义(P<0.05).观察组躯体功能、心理功能、社会功能及物质生活状态评分分别为(87.17±0.58)分、(86.01±0.98)分、(86.47±0.53)分、(66.32±1.51)分,高于对照组的(79.22±1.11)分、(80.81±0.81)分、(78.84±0.81)分、(60.11±2.33)分,差异有统计学意义(P<0.05).结论 将认知行为护理干预用于诱导期血液透析患者中能缓解患者不良情绪,提高患者生活质量.
Application Effect of Cognitive Behavioral Nursing in Hemodialysis Patients During Induction Period
Objective To explore the application effect of cognitive behavioral nursing in hemodialysis patients during induction period.Methods A total of 90 hemodialysis patients treated in Quanzhou First Hospital,Fujian from July 2022 to February 2023 were selected as the research subjects.All patients were divided into control group and observation group by random number table method,with 45 patients in each group.Patients in the control group received routine care,while patients in the observation group received cognitive behavioral care in addition to routine care.The scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS)before and after care and quality of life were compared between the two groups.Results After nursing,the SDS and SAS scores of the observation group were(32.44±5.31)points and(34.21±3.42)points,respectively,which were lower than(44.51±4.21)points and(47.31±4.61)points of the control group,and the differences were statistically significant(P<0.05).The scores of physical function,psychological function,social function and material life status of the observation group were(87.17±0.58)points,(86.01±0.98)points,(86.47±0.53)points and(66.32±1.51)points,respectively,which were higher than(79.22±1.11)points,(80.81±0.81)points,(78.84±0.81)points,(60.11±2.33)points of the control group,the differences were statistically significant(P<0.05).Conclusion Cognitive behavioral nursing intervention in hemodialysis patients in induction stage can alleviate the adverse mood of patients,improve the quality of life of patients.

cognitive behavioral nursinginduction periodhemodialysisdepressionanxietyquality of life

赵兰兰、林锦霞、陈雅玲

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福建省泉州市第一医院血液净化中心,福建 泉州 362000

认知行为护理 诱导期 血液透析 抑郁 焦虑 生活质量

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(23)