Clinical Research
Application of narrative nursing in long-term primary family caregivers of patients undergoing maintenance hemodialysis
Zhang Xuehua, Ren Zhijun, Gao Shuping, Xing Limin, Rao Longhua, Jiang Ying
Published 2021-08-26
Cite as Chin J Mod Nurs, 2021, 27(24): 3297-3302. DOI: 10.3760/cma.j.cn115682-20201027-05927
Abstract
ObjectiveTo explore the application effect of narrative nursing in long-term primary family caregivers of maintenance hemodialysis patients.
MethodsUsing 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.
ResultsBefore 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) .
ConclusionsNarrative 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.
Key words:
Hemodialysis; Caregiver; Care burden; Anxiety; Depression; Narrative nursing
Contributor Information
Zhang Xuehua
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
Ren Zhijun
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
Gao Shuping
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
Xing Limin
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
Rao Longhua
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
Jiang Ying
Department of Nephrology, Xiangyang NO.1 People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China
