摘要目的:探讨协同联合认知行为护理对慢性肾病患者的应用价值。方法:回顾性分析2018年2月至2019年5月在本院接受治疗的100例慢性肾病患者的临床资料，依据干预方式不同，分为对照组（常规护理干预，50例）与观察组（协同联合认知行为护理，50例）。干预15 d后，观察对比两组患者治疗依从性及自护能力情况。结果:干预后，观察组患者治疗总依从率（98.00%）高于对照组（80.00%），差异有统计学意义（ P<0.05）；干预前，两组患者自护能力总分比较，差异无统计学意义（ t=1.010， P=0.315）；两组患者干预后自护能力各项评分均高于治疗前均（ P<0.05）；且观察组干预后自护能力总分高于对照组[（109.26±15.49）分比（98.47±12.13）分]，两组比较差异有统计学意义（ t=3.878， P=0.000）。 结论:对于慢性肾病患者采用协同联合认知行为护理，有效提高患者的治疗依从性，增强患者自护能力，促进患者快速康复，值得临床推广使用。

abstractsObjective:To explore the application value of cooperative nursing model combined with cognitive behavioral therapy in patients with chronic kidney disease.Methods:The clinical data of 100 patients with chronic kidney disease treated in our hospital from February 2018 to May 2019 were analyzed retrospectively. According to the different intervention methods, they were divided into control group (50 cases, routine nursing intervention) and observation group (50 cases, cooperative nursing model combined with cognitive behavioral therapy). After 15 days of intervention, the treatment compliance and self-care ability of the two groups were observed and compared.Results:After intervention, the total compliance rate of the patients in the observation group (98.00%) was higher than that in the control group (80.00%), with statistically significant difference ( P<0.05). Before intervention, there was no statistically significant difference in the self-care ability between the two groups ( t=1.010, P=0.315); the self-care ability score of the two groups after intervention were higher than those before treatment, and the self-care ability score of the observation group was higher than that of the control group [(109.26±15.49) points vs. (98.47±12.13) points], with statistically significant difference ( t=3.878, P=0.000). Conclusion:The use of cooperative cognitive behavior nursing for patients with chronic kidney disease can effectively improve the treatment compliance, enhance the self-care ability of patients, and promote the rapid recovery of patients, which is worthy of clinical popularization and use.