摘要
[目的]探讨心理护理联合舒适护理模式对肾衰竭合并心血管疾病患者透析治疗期间自我管理能力的影响.[方法]选择2022年6月—2023年12月间接受透析治疗的70例肾衰竭合并心血管疾病患者为研究对象,采用随机数字表法分组,纳入常规组的35例患者给予传统护理干预,纳入联合组的35例患者给予基于传统护理上的心理护理联合舒适护理干预.比较两组护理前后心理状况、个体舒适度、自我效能及日常生活能力情况.[结果]干预前,常规组和联合组症状自评量表(SCL-90)维度评分间差异无统计学意义(P>0.05);干预后,联合组不同维度评分均有改善(P<0.05),与常规组评分比较有明显差异(P<0.05).干预后.两组舒适状况量表(GCQ)评分均有明显提高(P<0.05),联合组生理、心理、社会文化和环境维度评分改善明显优于常规组(P<0.05).干预后,两组自我效能量表(CDSES)、日常生活能力量表(ADL)评分均明显提高(P<0.05),且联合组评分明显高于常规组(P<0.05).[结论]心理护理联合舒适护理可提高肾功能衰竭合并心血管疾病患者透析期间的自我管理能力,改善患者的生活质量及心理状态,值得在临床实践中应用.
OBJECTIVE To explore the effect of psychological nursing combined with comfort nursing model on self-management ability of patients with renal failure complicated with cardiovascular disease during dialysis treatment.METHODS A total of 70 patients with renal failure complicated with cardiovascular disease who received dialysis treatment in Hemodialysis Department from June 2022 to December 2023 were selected as the research objects,and grouped by random number table method.35 patients in the conventional group recieved traditional nursing,and 35 patients in the combined group recieved psychological nursing combined with comfort nursing based on traditional nursing.The psychological status,individual comfort,self-efficacy and daily living ability of the two groups were compared before and after nursing.RESULTS Before intervention,there was no significant difference in the score of symptom checklist 90(SCL-90)between the conventional group and the combined group(P>0.05).After intervention,the scores of different dimensions in the combined group were improved(P<0.05),which were significantly different from those in the conventional group(P<0.05).After the intervention,the general comfort questionnaire(GCQ)scores of the two groups were significantly increased(P<0.05),while the scores of the physiological,psychological,sociocultural and environmental dimension were significantly improved in the combined group compared with those in the conventional group(P<0.05).After the intervention,the scores of chronic disease self-efficacy scale(CDSES)and activity of daily living scale(ADL)were significantly improved in the two groups(P<0.05),and the scores in the combined group were significantly higher than those in the conventional group(P<0.05).CONCLUSIONS Psychological nursing combined with comfortable nursing can effectively improve the self-management ability of patients with renal failure complicated with cardiovascular disease during dialysis,and improve the quality of life and psychological status of patients,and it is worthy of further promotion and application in clinical practice.
作者
邝长玉
吴妙玲
陈娟娟
KUANG Changyu;WU Miaoling;CHEN Juanjuan(Xiamen Third Hospital,Xiamen 361100,Fujian,China)
出处
《延边大学医学学报》
CAS
2024年第2期188-191,共4页
Journal of Medical Science Yanbian University
关键词
心理护理
舒适护理
肾衰竭
心血管疾病
透析
自我管理
psychological nursing
comfort nursing
renal failure
cardiovascular disease
dialysis
self-management
