认知行为护理在慢性肾小球肾炎中的应用及对患者睡眠质量的影响

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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 中图分类号：R692.3；R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.04.040

慢性肾小球肾炎是一种常见的肾脏疾病，病程长，易反复发作，患者不仅要忍受蛋白尿、血尿、水肿、高血压等躯体症状带来的痛苦，还容易导致负性情绪，严重影响患者的生命质量[1]。（剩余4940字）