以互联网为中心的正念减压护理在维持性血液透析患者中的应用效果

目的探讨以互联网为中心的正念减压护理应用于维持性血液透析患者的效果。方法选择2018年10月至2019年10月徐州市中心医院收治的维持性血液透析患者112例,按随机数字表法分为两组,每组56例。对照组实施常规护理干预,观察组实施以互联网为中心的正念减压护理。对比两组护理前后治疗依从性、自我感受负担水平、焦虑、抑郁情绪变化。结果观察组护理后透析方案、用药、饮食、液体摄入、依从性总分均高于对照组;观察组护理后自我感受负担评分低于对照组;观察组护理后贝克焦虑量表(BAI)、贝克抑郁自评量表第2版(BDI-Ⅱ)评分均低于对照组,差异均有统计学意义(均P<0.05)。结论以互联网为中心的正念减压护理应用于维持性血液透析患者可提高其治疗依从性,减轻自我感受负担,缓解焦虑和抑郁情绪,值得临床推广。

Application effect of Internet-centric mindfulness decompression nursing in maintenance hemodialysis patients

Objective To explore the effect of Internet-centric mindfulness decompression nursing on patients with maintenance hemodialysis. Methods A total of 112 patients undergoing maintenance hemodialysis in Xuzhou Central Hospital from October 2018 to October 2019 were selected and divided into two groups according to the random number table method, 56 cases each. The control group received routine nursing intervention, and the observation group performed Internet-centric mindfulness decompression nursing. Changes in treatment compliance, self-perceived burden level, anxiety, and depression were compared between the two groups before and after nursing. Results The total scores of dialysis regimen, medication, diet, fluid intake, and compliance in the observation group were higher than those in the control group. The score of the self-perceived burden in the observation group was lower than that in the control group. The Beck Anxiety Inventory (BAI) and Beck Depression Inventory II (BDI-II) scores of the observation group after nursing were lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusions The application of Internet-centric mindfulness decompression nursing in patients with maintenance hemodialysis can improve their compliance, reduce the burden of self-perception, relieve anxiety and depression, and is worthy of clinical promotion.