认知行为干预护理在20~30岁腹膜透析患者中的应用及对应对反应和心理韧性的影响

赵广英

【摘要】 目的：探討认知行为干预护理在20～30岁腹膜透析（PD）患者中的应用及对应对反应和心理韧性的影响。方法：选取2016年3月-2018年3月在笔者躲在医院进行PD治疗的中青年患者84例为研究对象，采用随机数表法分为干预组和对照组，各42例，对照组在透析过程中给予常规护理，干预组在此基础上给予认知行为干预护理，比较两组干预后效果及对患者应对反应和心理韧性的影响。结果：干预后观察组屈服应对及回避应对得分显著降低，面对应对得分显著升高，且观察组屈服应对及回避应对得分低于对照组，面对应对得分高于对照组（P<0.05），对照组干预后三种维度得分比较差异无统计学意义（P>0.05）;干预后两组CD-RISC、QOL评分均升高，且观察组干预后CD-RISC、QOL评分显著高于对照组（P<0.05）。结论：认知行为护理干预可显著提高中青年PD患者应对疾病的能力及心理韧性，并改善其生活质量，值得在临床上

推广。

【关键词】 认知行为干预; 腹膜透析患者; 应对反应; 心理韧性

doi：10.14033/j.cnki.cfmr.2019.06.030 文献标识码 B 文章编号 1674-6805（2019）06-00-03

Application of Cognitive Behavioral Intervention in Patients Aged 20-30 Years Undergoing Peritoneal Dialysis and the Influence on Coping Response and Resilience/ZHAO Guangying.//Chinese and Foreign Medical Research，2019，17（6）：-64

【Abstract】 Objective：To investigate the application of cognitive behavioral intervention in patients aged 20-30 years undergoing peritoneal dialysis （PD） and the effect on coping response and resilience.Method：A total of 84 young and middle-aged patients who underwent PD in the hospital from March 2016 to March 2018 were selected.They were divided into the intervention group and the control group by random number table method.The control group was given routine nursing during the dialysis.On the basis of routine nursing，the intervention group was gaven cognitive behavioral intervention.The intervention effects，effect on coping responses and resilience were compared between the two groups.Result：After the intervention，the scores of yielding response and avoidance response of the observation group were significantly decreased，and were lower than those of the control group while the facing response score was significantly increased and the was higher than that of the control group （P<0.05）.There were no significant differences in the scores of the three dimensions of the control group before and after intervention （P>0.05）.The CD-RISC and QOL scores of both groups were increased after the intervention，and the scores of the observation group were significantly higher than those of the control group （P<0.05）.Conclusion：Cognitive behavioral intervention can significantly improve the ability and resilience of young and middle-aged patients with PD to cope with diseases and improve their quality of life.

【Key words】 Cognitive behavioral intervention; Peritoneal dialysis; Coping response; Resilience

First-authors address： Xiaogan First peoples Hospital，Xiaogan 432000，China