摘要
目的探讨慢病管理随访在血液透析患者中的应用效果。方法研究选择2015年1月—2019年1月定期就诊的160例血液透析患者为研究对象,随机分为观察组和对照组,对照组给予常规出院随访,观察组给予慢病管理随访。两组患者均随访12个月,随访前后检测透析脱水量、血磷、血钙、钙磷乘积水平,采用健康调查简表(the MOS item short from health survey,SF-36)评估生活质量。结果两组患者干预前的透析脱水量、血磷、血钙、钙磷乘积水平比较差异无统计学意义(P>0.05);观察组患者干预后的钙磷乘积、血磷、透析脱水量均显著降低,组间比较差异有统计学意义(P<0.05)。观察组干预后的躯体健康、躯体角色功能、躯体疼痛、心理健康、情绪角色功能、精力、总体健康、总分评分均显著升高,与对照组比较差异有统计学意义(P<0.05)。结论慢病管理随访可有效改善血液透析患者血磷水平,提高生活质量。
Objective To explore the effect of chronic disease management and follow-up in hemodialysis patients.Methods The study selected 160 hemodialysis patients who visited regularly from January 2015 to January 2019 as the research objects,and were randomly divided into observation group and control group.The control group was given routine discharge follow-up,and the observation group was given chronic disease management follow-up.Both groups of patients were followed up for 12 months.Dialysis dehydration,blood phosphorus,blood calcium,calcium and phosphorus product levels were measured before and after the follow-up,and the MOS item short from health survey(SF-36)was used to assess the quality of life.Results There was no significant difference in dialysis dehydration,blood phosphorus,blood calcium,calcium and phosphorus product levels between the two groups before intervention(P>0.05);the observation group's calcium phosphorus product,blood phosphorus,and dialysis dehydration levels after intervention were all significantly reduced,and the difference between the groups was statistically significant(P<0.05).The physical health,physical role function,physical pain,mental health,emotional role function,energy,overall health,and total score of the observation group after intervention were significantly increased,which was significantly different from the control group(P<0.05).Conclusion Chronic disease managementand follow-up can effectively improve the blood phosphorus level of hemodialysis patients and improve the quality of life.
作者
任婷婷
郭宗琳
杨福华
丁光明
REN Tingting;GUO Zonglin;YANG Fuhua;DING Guangming(Department of Nephrology,Chengdu Sixth People's Hospital,Chengdu Sichuan 610051,China;Department of Geriatrics,Chengdu Sixth People's Hospital,Chengdu Sichuan 610051,China)
出处
《中国卫生标准管理》
2021年第24期56-59,共4页
China Health Standard Management
基金
四川省医学科研青年创新课题计划(Q15011)。
关键词
慢病管理随访
护理干预
血液透析
生活质量
血磷
钙磷乘积水平
chronic disease management follow-up
nursing intervention
hemodialysis
quality of life
blood phosphorus
calcium phosphorus product level
