目的：探究认知行为干预对尿毒症血液透析患者自我护理能力与心理应激反应的影响。方法选取近两年在该院接受血液透析的尿毒症患者104例，随机分为对照组和试验组，每组各52例，对照组行常规护理，试验组在常规护理基础上进行认知行为干预，观察并比较两组患者的自我护理能力和心理应激反应。结果试验组对血液透析的认识率（96．15％），对并发症的认识率（82．69％），遵医嘱用药率（100．00％），合理饮食率（92．31％），MCMQ 中面对评分[（22．01±5．11）分]明显高于对照组对血液透析的认识率（51．92％），对并发症的认识率（38．46％）、遵医嘱用药率（69．23％），合理饮食率（51．92％），MCMQ 中面对评分[（19．36±4．05）分]。试验组干预后的回避、屈服、SAS 评分分别为（12．21±3．40）、（6．03±1．61）、（39．11±9．55）分，明显低于对照组的（15．80±3．91）、（10．73±2．67）、（55．20±14．45）分，差异均有统计学意义（P＜0．05）。结论对尿毒症血液透析者进行认知行为干预，可以明显改善患者的焦虑，提高患者的自我护理能力。%Objective To explore the effect of cognitive behavior intervention on self-care ability and psychological stress of pa-tients with uremia hemodialysis .Methods A total of 104 uremic patients with hemodialysis in recent two years in were selected and randomly assigned for the experiment group and the control group ,52 cases in each group .Patients in the control group received routine conventinal nursing ,those in the experimental group were given cognitive behavior intervention on the basis of routine nurs-ing care .Then self-care ability and psychological stress reaction were observed and compared between the two groups .Results The understanding rate of hemodialysis(96 .15% ) ,the complications(82 .69% ) ,medication compliance rate(100 .00% ) ,a reasonable diet rate(92 .31% ) ,face sore in MCMQ(22 .01 ± 5 .11) in the experiment group were significant higher than understanding rate of he-modialysis(51 .92% ) ,understanding rate of complications(38 .46% ) ,medication compliance rate(69 .23% ) ,a reasonable diet rate (51 .92% ) ,face score in MCMQ(19 .36 ± 4 .05)in the control group .The avoidance score in MCMQ(12 .21 ± 3 .40) ,yield score in MCMQ(6 .03 ± 1 .61) ,SAS score(39 .11 ± 9 .55)in the experimental group were significant lower than avoidance score in MCMQ (15 .80 ± 3 .91) ,yield score in MCMQ(10 .73 ± 2 .67) ,SAS score(55 .20 ± 14 .45)(P< 0 .05) .Conclusion The cognitive behavior intervention of hemodialysis patients could improve the patient′s anxiety and self-care ability significantly .
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