认知行为干预在血液透析患者健康教育中的应用

发布时间：2018-04-26 02:05

本文选题：血液透析 + 认知行为干预　；参考：《中国健康教育》2017年06期

【摘要】：目的探讨认知行为干预对血液透析患者疾病认知水平及心理状况的影响。方法选取80例血液透析患者,按照入院时间随机分为干预组和对照组,每组40例,对照组给予常规治疗和常规健康教育,观察组实施认知行为干预,随访干预6个月,比较2组患者的健康教育效果。结果干预后,干预组患者尿毒症的症状(85.0%)、血液透析的基本原理(80.0%)、透析并发症的预防(77.5%)、合理用药知识(82.5%)、合理饮食的原则(85.0%)、内瘘的防护知识(80.0%)、日常生活的注意事项(82.5%)、心理调节的方式(85.0%)、定期复检的重要性(87.5%)等知识知晓率均高于对照组(P0.05)。干预后,干预组患者的躯体化(1.54±0.36)、强迫症状(1.52±0.35)、人际关系敏感(1.59±0.37)、抑郁(1.61±0.34)、焦虑(1.63±0.34)、敌对(1.71±0.36)、恐怖(1.61±0.32)得分均低于对照组,差异有统计学意义(P0.05)。结论认知行为干预模式的健康教育能提高血液透析患者的疾病认知水平、改善患者的心理状况。
[Abstract]:Objective to investigate the effects of cognitive behavior intervention on the cognitive level and psychological status of the patients with hemodialysis. Methods 80 hemodialysis patients were randomly divided into intervention group and control group according to the admission time, each group had 40 cases, the control group was given routine treatment and routine health education, and the observation group was treated with cognitive behavior intervention and follow-up intervention for 6 months. The results of the health education of the 2 groups were compared. Results the symptoms (85%) of the patients with uremia in the intervention group (85%), the basic principle of hemodialysis (80%), the prevention of dialysis complications (77.5%), the knowledge of rational use of drugs (82.5%), the principle of rational diet (85%), the protection knowledge of internal fistula (80%), the precautions for daily life (82.5%), and the prescription of psychological adjustment. The awareness rate of the importance (87.5%) of regular reexamination (85%) was higher than that of the control group (P0.05). After the intervention, the patients in the intervention group were somatization (1.54 + 0.36), compulsive symptoms (1.52 + 0.35), interpersonal sensitivity (1.59 + 0.37), depression (1.61 + 0.34), anxiety (1.63 + 0.34), hostile (1.71 + 1.54), and terrorist scores were all lower than the control group, the difference was lower than the control group, the difference was lower than the control group. There was statistical significance (P0.05). Conclusion the health education of cognitive behavior intervention mode can improve the cognition level of patients with hemodialysis and improve their psychological state.

【作者单位】：河北医科大学第一医院;
【基金】：河北省卫生和计划生育委员会科学研究课题(20120298)
【分类号】：R473.5

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