摘要
目的探讨随访式延续性护理干预对行维持性血液透析患者的自我管理能力和遵医行为的影响。方法 2013年6月-12月将157例行维持性血液透析患者按电脑登记号随机数字表法分成对照组76例和试验组81例。对照组给予常规护理,试验组在常规护理的同时,实施延续性护理干预方案。6个月后通过应用自制的患者自我管理量表和Morisky服药依从性量表评价两组患者的自我管理能力和依从性。结果 6个月后,试验组患者自我管理各项评分明显优于对照组,两组比较差异有统计学意义(P<0.05);试验组患者药物治疗依从性最高达45.7%,而对照组则为18.4%,两组比较差异有统计学意义(χ2=13.283,P<0.001)。结论出院后随访式延续性护理干预可明显提高血液透析患者的自我管理能力和遵医行为,从而达到提高患者生活质量的目的。
Objective To investigate the efficacy of follow-up continuous nursing intervention on the self- management ability and medication compliance of patients undergoing maintenance hemodiaiysis. Methods Between June and December 2013, 157 maintenance hemodialysis patients were randomly divided into control group （n=76） and study group （n=81）. The control group was given conventional nursing, while the study group received continuous nursing intervention program as well as conventional nursing. Six months later, the self-management ability and medication compliance of the patients were assessed by using self-made Patient Self-management Scale and Morisky Medication Compliance Scale. Results Six months later, self-management ability in patients of the study group was significantly better than that in the control group （P 〈 0.05）. Medication compliance rate in the study group reached a highest of 45.7%, while it was only 18.4% in the control group, and the difference between the two groups was significant （Х^2=13.283, P 〈 0.001）. Conclusion Follow-up continuous nursing intervention can obviously improve maintenance hemodialysis patients＇ ability of self management and compliance behavior, so as to improve the quality of life of these patients.
出处
《华西医学》
CAS
2015年第8期1511-1513,共3页
West China Medical Journal
关键词
延续性护理
血液透析
自我管理
依从性
Continuous nursing care
Hemodialysis
Self-management
Compliance
