認(rèn)知行為護(hù)理在慢性腎小球腎炎中的應(yīng)用及對患者睡眠質(zhì)量的影響

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AbstractObjective：Toexploretheapplicationefectofcognitive-behavioraltherapyinnursingpracticeforchronicglomerulo nephritisanditsefectonpatients’sleepquality.Methods：Atotalof106patientswithchronicglomerulonephritiswhoreceived treatmentintheFirstAfflitedHospitalofXiamenUniversityfromSeptember2O22toSeptember224wereenrolldastheresearchsubjects inthis study.They wererandomlydivided intoacontrol groupandanobservation groupbyusing arandomnumber table，with53patients ineach group.Thecontrolgroupreceivedroutinenursingcare，whiletheobservation groupadditionallyreceivedcognitive-behaviraltherapyinnursingpracticeKidneyfunctionindicators，psychologicalstatesores，sleepualityand qualityof lifeof thetwogroupswerecomparedResults：ThelevelsofScrandBUNof patients inboth groups decreasedafteintervention，while the level of Ccr increased and the changes in the observation group were more significant（ P<0.05 ） . The psychologicalstatusofpatientsinbothgroupsimprovedafterintervention，adtheSASandSDSscoresof theobservationgroupdecreased more greatly，with a significant difference compared to the control group after intervention（ P<0.05） .The sleep quality of patientsinbothgroupsimproved，andtheimprovementinPSQItotalscoreof theobservationgroupwassignificantlybeerthan that of the control group（ P<0.05）. The observation group showed an obvious improvement in scores of physiological function， psychological function，social function，emotional function，and overallhealth compared to the control group（ P<0.05 ） . Conclusion：Theaplicationofcognitive-behavioraltherapyinnursingpracticeforpatientswithchonicglomerulonephitiscansignificantlyimprovetheirmarkersofrenalfunctiontests，sychologicalstatus，sleepqualityandqualityf ife，withbeterrsultscompared to routine nursing practice.

KeywordsCognitive behavioral therapy in nursing practice；Chronic glomerulonephritis；Sleepquality；Menta status 中圖分類號：R692.3；R338.63 文獻(xiàn)標(biāo)識碼：A doi：10.3969/j.issn.2095-7130.2025.04.040

慢性腎小球腎炎是一種常見的腎臟疾病，病程長，易反復(fù)發(fā)作，患者不僅要忍受蛋白尿、血尿、水腫、高血壓等軀體癥狀帶來的痛苦，還容易導(dǎo)致負(fù)性情緒，嚴(yán)重影響患者的生命質(zhì)量[1]。（剩余4940字）