摘要
目的探讨自我效能护理干预对维持性血液透析患者的临床价值。方法选取2014年12月~2016年5月本院血透中心行维持性血液透析治疗的128例患者为研究对象,按护理干预方法将其分为对照组和干预组,每组64例,对照组患者在维持性血液透析治疗上予以常规临床护理,干预组在维持性血液透析治疗上予以自我效能护理模式进行干预,两组患者均干预6个月,干预结束后记录所有患者自我护理能力、负性情绪变化及生存质量情况,并比较两组患者间上述情况的差异,为临床上维持性血液透析患者护理干预模式的选择进一步提供有力的证据。结果 (1)两组患者干预前自我护理能力比较均无差异(P>0.05),干预后其评分均较干预前提高,且干预组评分提高程度远大于对照组,组间差异有统计学意义(P<0.05)。(2)两组患者干预前SAS、SDS及HADS评分均无差异(P>0.05),干预后均较干预前降低,且干预组降低程度明显大于对照组,组间差异有统计学意义(P<0.05)。(3)两组患者干预前SF-36各维度评分比较均无差异(P>0.05),干预后均较干预前提高,且干预组各维度及总分提高程度均大于对照组,组间差异有统计学意义(P<0.05)。(4)干预组患者对护理的总满意度(98.44%)明显高于对照组(87.50%),组间差异有统计学意义(P<0.05)。结论自我效能护理干预可明显提高维持性血液透析患者的自我护理能力和生存质量,且可明显改善患者的负性情绪,更易被患者所接受。
Objective To investigate The clinical value of self-efficacy intervention in maintenance hemodialysis patients.Methods 128 patients underwent maintenance hemodialysis in our hospital from December 2014 to May 2016 were selected and divided into control group and interventional group,64 cases in each group.Control group was given maintenance hemodialysis and regular clinic nursing.Interventional group was given maintenance hemodialysis and self-efficacy-based nursing intervention.They were all treated for 6 months.The self-care ability,negative emotion and life quality were observed.Results Self-care ability of the two groups before intervention had no difference（P〈0.05）.After intervention,scores all increased,and the scores of interventional group increased more than that of control group（P〈0.05）.SAS,SDS and HADS of the two groups before intervention had no difference（P〈0.05）.After intervention,scores of the two groups all reduced,and scores of interventional group reduced more than that of control group（P〈0.05）.SF-36 scores of the two groups before intervention had no difference（P〈0.05）.After intervention,scores of the two groups all increased,and scores of interventional group improved more than that of control group（P〈0.05）;Satisfaction rate of interventional group（98.44%）was larger than control group（87.50%）（P〈0.05）.Conclusion Self-efficacy-based nursing intervention can improve self-care ability,life quality,negative emotion of patients with maintenance hemodialysis and reduce complication incidence and it is more easily accepted by common patients.
出处
《西部医学》
2017年第11期1599-1603,共5页
Medical Journal of West China
基金
四川省卫计委应用研究课题(150130)
关键词
自我效能护理
维持性血液透析
临床价值
Self-efficacy-based nursing
Maintenance hemodialysis
Clinic value
