认知行为护理对慢性肾功能衰竭行血液透析患者负性情绪和慢性贫血的影响

目的 分析认知行为护理对慢性肾功能衰竭行血液透析患者负性情绪和慢性贫血的影响.方法 随机将111例慢性肾功能衰竭行血液透析患者分为两组,对照组给予透析常规护理,实验组在透析常规护理基础上配合认知行为护理,对比两组患者干预前后负性情绪和实验室指标.结果 两组护理干预后SAS评分、SDS评分与干预前比较,P＜ 0.01;实验组干预后SAS评分、SDS评分与对照组比较,P＜0.01.两组护理干预后血红蛋白达标率、血铁蛋白达标与干预前比较,P＜ 0.01或P＜0.05；实验组干预后血红蛋白达标率、血铁蛋白达标与对照组比较,P＜ 0.05.结论 认知行为护理能够改善慢性肾功能衰竭行血液透析患者的负性情绪,提高治疗的依从性以纠正慢性贫血状态,在提高透析质量和生活质量方面具有非常重要的意义.

Effect of cognitive behavioral nursing on negative emotions and chronic anemia for hemodialysis patients with chronic renal failure

Objective To analyze the effect of cognitive behavior nursing on negative emotions and chronic anemia for hemodialysis patients with chronic renal failure. Methods A total of 111 cases of hemodialysis patients with chronic renal failure were randomly divided into two groups, the control group was given conventional dialysis nursing, while the experimental group was given cognitive behavior nursing based on conventional dialysis nursing, compared the negative emotions and laboratory indexes of the two groups. Results After nursing intervention, the SAS scores and SDS scores of two groups were significant different from that of before intervention （P 〈 0.01）, and the SAS scores and SDS scores of experimental group were significant different from control group （P 〈 0.01）. After nursing intervention, the success rate of hemoglobin and blood ferritin of two groups were significant different from that of before interven- tion （/9 〈 0.05 or P 〈 0.01）, and the success rate of hemoglobin and blood ferritin of experimental group were significant different from control group （P〈 0.05）. Conclusion Cognitive behavioral nursing can improve the negative emotions of hemodialysis patients with chronic renal failure, improve treatment compliance to correct chronic anemia status, and has very important significance in the quality of dialysis and quality of life.