摘要
目的探讨协同护理模式对糖尿病肾病血液透析患者自我护理能力、生活质量及并发症的影响。方法选取2011年6月~2014年6月在该院接受血液透析治疗的糖尿病肾病患者110例为研究对象,随机分为对照组和观察组,各55例。对照组在血液透析治疗期间予以常规护理,观察组在对照组常规护理的基础上实施协同护理模式。自我护理能力通过自我护理能力测定量表(Exercise of Self-Care Agency Scale,ESCA)进行测评,生活质量通过生活质量量表(SF-36)进行测评,同时对血液透析治疗期间患者的并发症发生情况进行分析比较。结果观察组患者的生活质量评分高于对照组,差异有统计学意义(P<0.01)。观察组患者的自我护理能力评分高于对照组,差异有统计学意义(P<0.01)。观察组患者在血液透析治疗期间出现感染、心力衰竭、低血压等并发症的发生率均低于对照组,差异有统计学意义(均P<0.01-0.05)。结论在糖尿病肾病患者血液透析治疗期间实施协同护理模式能够增强患者的自我护理能力,改善患者的生活质量,并有助于降低并发症的发生率。
Objective To explore the effect of collaborative nursing model on self-care ability, quality of life and complications of hemodialysis patients with diabetic nephropathy. Methods A total of 110 cases of diabetic nephropathy patients who received hemodialysis treatment in this hospital from June 2011 to June 2014 were selected as the research objects, and were randomly divided into control group and observation group, with 55 cases each.The control group was given routine nursing care during hemodialysis treatment, and the observation group was given collaborative nursing mode on the basis of routine nursing care in the control group.The ability of self-care was assessed by the Exercise of Self-care Agency Scale (ESCA), and the quality of life was assessed by the Quality of Life Scale (SF-36). Meanwhile, the complications of patients during hemodialysis were analyzed and compared. Results The quality of life score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.01). The self-nursing ability score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.01). The incidence of infection, heart failure, hypotension and other complications during hemodialysis treatment in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.01-0.05). Conclusion The implementation of collaborative nursing mode during hemodialysis treatment of diabetic nephropathy patients can enhance the self-care ability of patients, improve the quality of life of patients, and help reduce the incidence of complications.
作者
张碧芬
欧娟娟
王洪颖
林完
黄雅玲
Zhang Bifen;Ou Juanjuan;Wang Hongying;Lin Wan;Huang Yaling(Nephrology Department, Zhongshan Hospital Affiliated to Xiamen University, Xiamen City of Fujian Province 361004, China)
出处
《国际护理学杂志》
2019年第12期1817-1820,共4页
international journal of nursing
