摘要
目的 探讨多学科协作干预方案在行血液净化肾功能衰竭患者中的临床疗效。方法 2019年8月至2020年9月选取本院重症医学科过渡病区行血液净化的肾功能衰竭患者60例,根据患者入院时间将患者分为对照组(2019年8月至2020年2月)及观察组(2020年3月至2020年9月),每组各30例。对照组实施血液净化治疗常规性护理,观察组通过建立多学科管理团队对患者实施干预,比较两组干预前后自护能力、遵医行为、并发症及生活质量。结果 观察组自我健康维护技能(30.58±3.98)分、自护责任感(25.11±4.98)分、自我概念(27.25±3.69)分、自我维护知识(37.52±4.02)分、自护能力总评分(120.46±6.23)分也均高于对照组,差异有统计学意义(P <0.05)。观察组遵医行为率(包括遵守治疗方案、不负重、自我保暖、保护血管通路、定时测定血压、定期健手操)高于对照组(P<0.05)。观察组并发症发生率(3.33%)低于对照组(26.67%),差异有统计学意义(P<0.05)。干预后观察组肾脏疾病症状[(29.12±4.88)分]、生理领域健康[(28.06±4.11)分]、心理领域健康[(29.63±4.88)分]、肾脏疾病负担[(28.44±4.96)分]、肾脏疾病的影响[(32.02±3.98)分]等方面评分高于对照组[(24.26±3.62)分、(24.23±4.56)分、(24.63±4.52)分、(23.96±4.63)分、(24.99±3.88)分](P <0.05)。结论 多学科协作干预方案能有效提高肾功衰竭行血液净化患者自护能力及遵医行为,降低患者血液净化期间并发症,提高患者生活质量。
Objective To explore the application of multidisciplinary collaborative intervention program in patients with renal failure undergoing blood purification.Method Sixty cases of patients with renal failure who underwented with blood purification in our hospital were selected from August 2019 to September 2020.The patients were divided into control group(from August 2019 to February 2020,n=30)and observation group(from March 2020 to September 2020,n=30).The control group were received with routine care and observation group were implemented with interventions on patients by establishing a multidisciplinary management team.The self-care ability,compliance behavior,complications and quality of life of two groups were compared before and after intervention.Results The self-health maintenance skills(30.58±3.98),the sense of selfprotection responsibility(25.11±4.98),the self-concept(27.25±3.69),the self-maintenance knowledge(37.52±4.02),and the total self-protection ability score(120.46±6.23)of observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The compliance behavior rate(including compliance with the treatment plan,no weight bearing,self-keep warm,protection of vascular access,regular blood pressure measurement,regular hand exercises)of observation group were higher than control group(P<0.05).The incidence of complications of observation group(3.33%)were lower than control group(26.67%)(P<0.05).The had kidney disease symptoms(29.12±4.88),physical health(28.06±4.11),mental health(29.63±4.88),and kidney disease burden(28.44±4.96),influence of kidney disease(32.02±3.98)of observation group were higher than control group[(24.26±3.62),(24.23±4.56),(24.63±4.52),(23.96±4.63),(24.99±3.88)]after intervention(P<0.05).Conclusion The multidisciplinary collaborative intervention program can effectively improve the self-care ability and compliance behavior of patients with renal failure undergoing blood purification,reduce complications during blood p
作者
陆艳芳
李军
韦春萱
陆英金
LU Yanfang;LI Jun;WEI Chunxuan;LU Yingjin(Department of Critical Care Medicine,Affiliate Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)
出处
《中国医药指南》
2022年第33期41-44,共4页
Guide of China Medicine
关键词
多学科协作干预方案
肾功能衰竭
血液净化
自护能力
遵医行为
生活质量
Multidisciplinary collaborative intervention program
Renal failure
Blood purification
Self-care ability
Compliance behavior
Quality of life
