摘要
目的 探讨基于授权理论的自我管理模式在肾移植术后患者出院指导服务中的应用效果。方法 选取2016年1月至2016年12月南方医科大学南方医院收治的100例肾移植手术患者作为对照组,落实常规护理、治疗及健康教育;将2017年1月至2017年12月南方医科大学南方医院100例行肾移植手术患者作为观察组,实施基于授权理论的自我管理模式的出院指导服务。观察肾移植术后患者的自我管理能力和生活质量。结果 肾移植术后1、3、6个月、1年观察组移植肾功能、自我管理行为及生活质量得分显著高于对照组(P <0.05)。结论 基于授权理论自我管理模式用于肾移植术后出院指导服务,可以促进或改善移植肾功能恢复,提高患者的遵医行为和自我管理能力,减少并发症的发生,加速术后回归家庭,回归社会,实现自我价值的过程,患者及家庭生活质量亦明显提升。
Objective To investigate the effect of self-management model based on authorization theory on discharge guidance after renal transplantation.Methods From January 2016 to December 2016,100 patients undergoing renal transplantation in our department were taken as control group.Routine nursing,treatment and health education were carried out.Another 100 patients undergoing renal transplantation from January 2017 to December 2017 were treated as observation group,and discharge guidance services based on self-management model based on authorization theory were carried out.Results One month,3 months,6 months and 1 year after renal transplantation,the patients’renal function,scores of self-management behavior and quality of life in the observation group were significantly higher than those of control group(P<0.05).Conclusion Self-management model based on authorization theory can promote or improve the recovery of renal transplantation function,improve the compliance and self-management ability of patients,and reduce the incidence of complications.The process of returning to family,returning to society and realizing self-worth after operation also improved the quality of life of patients and families.
作者
叶桂荣
钟超
姚琳
游丽娟
YE Guirong;ZHONG Chao;YAO Lin;YOU Lijuan(Department of Organ Transplantation,Southern Hospital,Southern Medical University,Guangzhou,Guangdong 510515,China)
出处
《大医生》
2019年第3期165-167,共3页
Doctor
