摘要
目的 探讨认知行为导向的护理模式在肾内科血液透析患者中的应用效果；方法 将2024年9月至2025年3月在十堰市太和医院肾内科接受血液透析治疗的患者作为研究对象。根据数字表法，将患者分为对照组和观察组，每组50例。对照组患者接受常规护理，观察组患者接受认知行为导向的护理模式；结果 观察组患者护理后的HADS和SAS评分显著低于对照组患者，P＜0.05，同时不良反应发生率显著降低，满意度和依从性显著增高；结论 肾内科患者应用认知行为导向的护理模式效果显著，值得在临床进一步推广。
关键词： 透析；认知行为；焦虑
Abstract
Objective To explore the effect of cognitive behavior-oriented nursing model in hemodialysis patients in nephrology department; Methods Patients who received hemodialysis treatment in the nephrology department of Taihe Hospital in Shiyan from September 2024 to March 2025 were taken as the research object. According to the digital table method, the patients were divided into control group and observation group, with 50 cases in group. The control group patients received routine nursing, and the observation group patients received a cognitive behavior-oriented nursing model.; Results After nursing, the HADS and SAS scores of the patients in the observation group were significantly lower than those of the patients in the control, P < 0.05, and the incidence of adverse reactions was significantly lower, and the satisfaction and compliance were significantly higher; Conclusion Cognitive-oriented nursing model is worth promotion in clinical practice.
Key words： Dialysis; Cognitive behavior; Anxiety
参考文献 References
[1] 谢青.基于认知-信念-行为导向性护理干预在老年糖尿病患者护理中的应用价值[J].中华养生保健,2023,41(22): 109-111.
[2] 肖秋萍,林夏蓉,朱清玉.认知-信念-行为导向性护理模式对脑卒中恢复期患者自护能力和日常生活能力的影响[J].吉林医学,2025,46(05):1232-1235.
[3] 张宝珍,徐晓光,徐淑娜.基于认知-信念-行为导向性的护理模式干预对系统性红斑狼疮患者自我护理能力的影响[J].慢性病学杂志,2025,26(02):293-295+299.
[4] 周燕萍,沈洁,范蓉.认知-信念-行为导向性护理在脑动脉瘤介入栓塞术后患者中的应用[J].齐鲁护理杂志,2022, 28(22): 137-139.
[5] 徐静锋,王海英,刘凌峰.探讨跨理论模型的行为导向式健康教育对老年精神障碍患者认知功能的影响[J].心理月刊,2023,18(19):165-167+186.
[6] 高荣芳,祁娟,龚玉环,等.协同式心理干预联合阶段性认知行为护理对肺癌化疗患者认知情况及心理弹性的影响[J].临床医学研究与实践,2025,10(21):154-157.
[7] 林燕娟.认知行为导向护理干预在血液透析患者中应用的效果[J].中国医药指南,2024,22(26):66-69.
[8] 王秀丽,李梦尧.认知行为护理联合饮食指导在慢性肾功能衰竭血液透析患者中的应用效果[J].中国社区医师, 2025, 41(16):97-99.