论文部分内容阅读
目的探讨认知干预对减少终末期肾病维持性血液透析患者导管并发症和提高生活质量的影响。方法选择终末期肾病维持性血液透析患者53例,采用随机数字表法分为对照组27例和干预组26例。干预组在常规护理的基础上实施认知干预,对照组仅实施常规护理。干预时间半年,观察期为1年,比较两组导管相关并发症、心理状态测评和生活质量干预效果。结果干预组患者导管相关并发症发生率为3.85%,对照组为55.56%,差异有统计学意义(χ2=10.64,P<0.05),干预组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)得分分别为(46.69±2.98)、(49.19±3.09)分,对照组分别为(52.93±5.18)、(56.52±5.37)分,差异有统计学意义(t值分别为5.343、6.062,P<0.05),两组生活质量简明健康测量量表(SF-36)得分差异均有统计学意义(P<0.05)。结论认知干预能够显著减少终末期肾病维持性血液透析患者的导管相关并发症,提高生活质量。
Objective To investigate the effect of cognitive intervention on reducing catheter complications and improving quality of life in maintenance hemodialysis patients with end stage renal disease. Methods Fifty-three patients with maintenance hemodialysis of ESRD were divided into control group (n = 27) and intervention group (n = 26) using random number table. The intervention group implemented cognitive intervention on the basis of routine nursing, while the control group only performed routine nursing. Intervention time of six months, the observation period of 1 year, compared two sets of catheter-related complications, psychological status assessment and quality of life intervention effect. Results The incidence of catheter-related complications was 3.85% in the intervention group and 55.56% in the control group, with significant difference (χ2 = 10.64, P <0.05). The self-rating anxiety scale (SAS) The score of SDS was (46.69 ± 2.98) and (49.19 ± 3.09) respectively, while the control group was (52.93 ± 5.18) and (56.52 ± 5.37) respectively, the difference was statistically significant (t = 5.343, 6.062, P <0.05). There were significant differences in SF-36 scores between the two groups (P <0.05). Conclusion Cognitive intervention can significantly reduce catheter-related complications and improve quality of life in maintenance hemodialysis patients with end-stage renal disease.