认知行为护理干预对慢性肾衰血液透析治疗患者肾功能及生存质量的影响

发布时间：2018-04-02 17:19

本文选题：血液透析　切入点：慢性肾衰　出处：《海南医学》2017年06期

【摘要】：目的探讨认知行为护理干预对慢性肾衰血液透析治疗患者肾功能及生存质量的影响。方法选择2014年6月至2015年12月期间河北北方学院附属第二医院肾内科收治的慢性肾衰行血液透析治疗患者92例,按数字表法随机分为观察组与对照组各46例,对照组与观察组均实施肾内科常规护理,此外,观察组实施以认知行为论理为基础的认知行为护理干预措施,持续干预12周。比较两组患者护理前后的血清肌酐(Scr)、血尿素氮(BUN)水平,运用中文版健康调查简表(SF-36)评测两组患者护理前后的生存质量,并比较两组患者血液透析的依从性。结果护理后观察组患者的Scr、BUN水平分别为(239.67±12.69)mmol/L、(8.45±1.27)μmol/L,均明显低于对照组的(289.61±23.58)mmol/L、(9.91±1.52)μmol/L,差异均有统计学意义(P0.05);观察组患者护理后的SF-36量表八项维度评分较护理前均有明显的改善(P0.05),而对照组患者护理后仅在机体功能以及总体健康维度方面较护理前有明显改善(P0.05);观察组患者血液透析依从率为93.5%,对照组仅为67.4%,两组比较差异有统计学意义(P0.05)。结论对慢性肾衰血液透析治疗患者实施认知行为护理干预,可提升患者血液透析依从性率,并有效提高患者肾功能的改善效果以及生存质量。
[Abstract]:Objective to explore the effect of cognitive behavioral nursing intervention on renal function and quality of life in patients with chronic renal failure treated by hemodialysis.Methods from June 2014 to December 2015, 92 patients with chronic renal failure treated in Department of Nephrology, second affiliated Hospital of Hebei North University were randomly divided into observation group and control group by digital table method.Both the control group and the observation group were given routine nursing care in renal internal medicine. In addition, the observation group received cognitive behavioral nursing intervention based on cognitive behavioral theory for 12 weeks.The levels of serum creatinine creatinine (creatinine) and blood urea nitrogen (bun) before and after nursing were compared between the two groups. The quality of life before and after nursing was evaluated by SF-36, and the compliance of hemodialysis was compared between the two groups.After nursing, the patients in the radiation group only improved their body function and overall health dimension obviously than before, the compliance rate of hemodialysis was 93.5in the observation group and 67.4 in the control group. The difference between the two groups was statistically significant (P 0.05).Conclusion Cognitive behavioral nursing intervention in patients with chronic renal failure hemodialysis can improve the compliance rate of hemodialysis and improve the effect of renal function and the quality of life.
【作者单位】：河北北方学院附属第二医院肾内科;河北北方学院附属第二医院神经内科;河北北方学院附属第二医院妇产科;
【基金】：河北省张家口市科技局与地震局项目(编号:15211095D)
【分类号】：R473.5

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