摘要
目的 分析为维持性血液透析(maintenance hemodialysis, MHD)高血压(hypertension, HPT)患者提供认知行为护理的效果。方法 方便选取2021年1月—2023年12月邳州市中医院收治的86例MHD并HPT患者为研究对象,根据不同护理方法分为对照组和观察组,各43例。对照组实施常规护理,观察组实施认知行为护理。对比两组依从性、自护能力及护理满意度。结果 观察组总依从率高于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的自我护理能力量表(Exercise of Self-Care Agency, ESCA)评分对比,差异无统计学意义(P>0.05);护理后,两组患者的ESCA评分高于护理前,观察组自我概念(27.55±2.60)分、自我护理责任感(35.89±2.61)分、自我护理技能(45.77±5.13)分、健康知识(35.21±2.85)分均高于对照组的(23.56±3.14)分、(31.06±2.48)分、(38.62±4.10)分、(30.68±2.09)分,差异有统计学意义(t=6.418、8.797、7.139、8.405,P均<0.05)。观察组护理总满意率97.67%(42/43)高于对照组的81.40%(35/43),差异有统计学意义(P<0.05)。结论予以MHD并HPT患者认知行为护理可提升患者依从性与自护能力,获得患者认可。
Objective To analyze the effect of cognitive behavioral nursing on maintenance hemodialysis(MHD)pa⁃tients with hypertension(HPT).Methods A total of 86 patients with MHD and HPT admitted to Pizhou Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were conveniently selected as the research ob⁃jects.According to different nursing methods,they were divided into control group and observation group,with 43 cases in each group.The control group received routine nursing,and the observation group received cognitive behav⁃ioral nursing.The compliance,self-care ability and nursing satisfaction of the two groups were compared.Results The total compliance rate of the observation group was higher than that of the control group,and the difference was statisti⁃cally significant(P<0.05).Before nursing,there was no significant difference in the scores of Exercise of Self-care Agency(ESCA)between the two groups(P>0.05);after nursing,the ESCA scores of the two groups were higher than those before nursing,the scores of self-concept(27.55±2.60)points,self-care responsibility(35.89±2.61)points,self-care skills(45.77±5.13)points and health knowledge(35.21±2.85)points in the observation group were higher than those in the control group(23.56±3.14)points,(31.06±2.48)points,(38.62±4.10)points and(30.68±2.09)points,and the differences were statistically significant(t=6.418,8.797,7.139,8.405,all P<0.05).The total satisfaction rate of nursing in the observation group was 97.67%(42/43)higher than 81.40%(35/43)in the control group,and the differ⁃ence was statistically significant(P<0.05).Conclusion Cognitive behavioral nursing for patients with MHD and HPT can improve patients'compliance and self-care ability,which is recognized by patients.
作者
于春增
张海云
侯明明
YU Chunzeng;ZHANG Haiyun;HOU Mingming(Department of Hemodialysis,Pizhou Hospital of Traditional Chinese Medicine,Pizhou,Jiangsu,221300,China)
出处
《中外医疗》
2024年第30期128-131,共4页
China & Foreign Medical Treatment
关键词
维持性血液透析
高血压
认知行为护理
自护能力
满意度
Maintenance hemodialysis
Hypertension
Cognitive behavioral nursing
Self-care ability
Satisfaction
