Application of narrative nursing in long-term primary family caregivers of patients undergoing maintenance hemodialysis
10.3760/cma.j.cn115682-20201027-05927
- VernacularTitle:叙事护理在维持性血液透析患者长期主要家庭照顾者中的应用
- Author:
Xuehua ZHANG
1
;
Zhijun REN
;
Shuping GAO
;
Limin XING
;
Longhua RAO
;
Ying JIANG
Author Information
1. 湖北医药学院附属襄阳市第一人民医院肾病内科 441000
- Keywords:
Hemodialysis;
Caregiver;
Care burden;
Anxiety;
Depression;
Narrative nursing
- From:
Chinese Journal of Modern Nursing
2021;27(24):3297-3302
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of narrative nursing in long-term primary family caregivers of maintenance hemodialysis patients.Methods:Using the convenient sampling method, a total of 120 main family caregivers of maintenance hemodialysis patients who received hemodialysis treatment in Hemodialysis Room of a tertiary general hospital were selected as the research objects from May to August 2020. The patients were randomly divided into the observation group ( n=60) and the control group ( n=60) by random number table method. The observation group was given narrative nursing intervention, while the control group was given routine psychological nursing. Zarit Caregiver Burden Interview (ZBI) , Self-rating Anxiety Scale (SAS) and Beck Depression Scale (BDI-Ⅱ) were used to investigate the situation of caregivers in the two groups. Results:Before the intervention, there was no statistically significant difference in the total scores of ZBI, SAS and BDI-Ⅱ between the two groups ( P>0.05) . After the intervention, the total scores of ZBI, SAS and BDI-Ⅱ in the observation group were respectively 23.50 (15.00, 33.00) , 33.00 (27.00, 41.00) and 11.00 (8.00, 14.75) , which were lower than the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Narrative nursing can effectively reduce the long-term care burden of the main family caregivers of maintenance hemodialysis patients and reduce levels of anxiety and depression, which is worthy of clinical application.
