认知行为干预心理护理在透析护理中应用价值分析.docVIP

认知行为干预心理护理在透析护理中应用价值分析 　　【摘要】 目的：分析讨论心理护理中认知行为干预的方法对尿毒症透析患者情绪及其他各项指标的影响。方法：选取笔者所在医院2012年6月-2013年9月需进行血液透析的尿毒症患者共227例，按照随机数字表法分成受试组122例与对照组105例。受试组患者接受认知行为干预及常规护理，对照组仅进行常规护理。记录两组患者一般情况，设计问卷调查表对患者焦虑、抑郁等不良情绪进行得分评价。并对患者体重、营养等指标进行检测评估。结果：对每个患者连续记录3个月后，受试组患者焦虑、抑郁不良情绪评分低于对照组，两组比较差异均有统计学意义（P0.05）。受试组患者体重、营养等指标较对照组好转，两组比较差异均有统计学意义（P0.05）。结论：认知行为干预方案对尿毒症血液透析患者的护理临床效果明显，可减轻患者焦虑、抑郁等负面情绪，改善患者体重、营养等各项生理指标。 　　【关键词】 认知行为干预； 心理护理； 血液透析； 临床效果 　　中图分类号 R473.5 文献标识码 B 文章编号 1674-6805（2014）26-0110-02 　　【Abstract】 Objective： To discuss the effects of cognitive behavior intervention on the emotional method and index of dialysis in uremic patients.Method： Two hundred and twenty-seven patients were selected with uremia hemodialysis patients during the period of June 2012 to September 2013， which were randomly divided into trial group 122 cases and control group of 105 cases.In test group cognitive behavior intervention and usual care， the control group was given conventional nursing.Recorded in two groups of patients， questionnaire design of score evaluation of patients with anxiety， depression and other negative emotions.To assess the patients body weight， nutrition index.Result： For each patient record for 3 consecutive months， the group of patients with anxiety and depression， bad mood score lower than those in the control group （P0.05）.The subjects were weight， nutrition and other indicators improved compared with the control group， the difference was all statistical significance（P0.05）.Conclusion：Clinical nursing effect of cognitive behavior intervention on hemodialysis patients with uremia significantly can reduce the anxiety， depression and other negative emotions， each physiological index weight， improve patients nutrition. 　　【Key words】 Cognitive behavioral intervention； Psychological nursing care； Hemodialysis； Clinical effect 　　First-author’s address： The Central Hospital of Dazhou City，Dazhou 635000，China 　　尿毒症是慢性肾功能衰竭的晚期阶段，发展到此阶段并坚持治疗的患者中有90%以上采取血液透析的治疗方案以缓解疾病进程[1]。但是，长期的