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目的:探讨认知、情绪和行为护理干预对血液透析患者的影响。方法:选取2014年6月~2015年7月鄞州区第二医院收治的100例血液透析患者为研究对象,采用数字表法将患者随机分为观察组和对照组,每组各50例。对照组实施常规护理,观察组在对照组的基础上增加认知、情绪和行为护理干预,对比两组患者的疾病认知状况、护理依从率和负面情绪状况。结果:干预前两组患者的疾病认知评分无显著差异(P>0.05),干预后观察组患者的认知评分显著高于对照组(P<0.05);观察组患者的护理依从率达到98.0%,显著高于对照组的82.0%(P<0.05);两组患者干预前焦虑、抑郁评分对比无显著差异(P>0.05),干预后观察组显著低于对照组(P<0.05)。结论:实施认知、情绪和行为护理干预能够有效改善血液透析患者的认知状况及负面情绪,提高患者的护理依从率。
Objective: To investigate the impact of cognitive, emotional and behavioral intervention on hemodialysis patients. Methods: From January 2014 to July 2015, 100 hemodialysis patients admitted to the Second Hospital of Yinzhou District from June 2014 to July 2015 were enrolled in this study. The patients were randomly divided into observation group and control group by digital table method, with 50 cases in each group. The control group was given routine nursing care. The observation group was given cognitive, emotional and behavioral nursing intervention on the basis of the control group. The cognitive status, nursing compliance rate and negative emotional status of the two groups were compared. Results: Before the intervention, there was no significant difference in cognitive score between the two groups (P> 0.05). After the intervention, the cognitive score of the observation group was significantly higher than that of the control group (P <0.05); The compliance rate of the nursing group in the observation group reached 98.0 %, Which was significantly higher than that of the control group (82.0%, P <0.05). There was no significant difference between the two groups in anxiety and depression scores before intervention (P> 0.05), but the observation group was significantly lower than the control group after intervention (P <0.05). Conclusion: The implementation of cognitive, emotional and behavioral nursing interventions can effectively improve the cognitive status and negative emotions of patients with hemodialysis and improve the patient’s compliance rate.