摘要
目的探讨时机理论导向的延续性护理在慢性肾衰竭维持性血液透析(MHD)患者中的应用价值。方法选取我院收治的84例慢性肾衰竭MHD患者为研究对象,采用盲法将其分为对照组和研究组,各42例。对照组实施常规护理干预,研究组在常规护理的基础上实施时机理论导向的延续性护理。比较两组的干预效果。结果干预后,两组的血肌酐(Scr)、血尿素氮(BUN)水平均低于干预前,且研究组低于对照组(P<0.05)。干预后,两组的自我管理、自我效能感量表(GSES)评分高于干预前,修订版Piper疲乏量表(RPFS)评分低于干预前,且研究组优于对照组(P<0.05)。干预后,两组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分均高于干预前,且研究组高于对照组(P<0.05)。干预后,两组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于干预前,且研究组低于对照组(P<0.05)。研究组的总依从率高于对照组(P<0.05)。结论将时机理论导向的延续性护理应用于慢性肾衰竭MHD患者中,有利于改善患者的肾功能,提升其自我管理能力、自我效能感、治疗依从性,减轻疲乏程度及不良情绪,提高生活质量。
Objective To explore the application value of timing theory-oriented continuous nursing in chronic renal failure patients undergoing maintenance hemodialysis(MHD).Methods Eighty-four chronic renal failure patients undergoing MHD admitted in our hospital were selected as the research objects and divided into control group and study group by blind method,with 42 cases in each group.The control group was given routine nursing intervention,and the study group was given timing theory-oriented continuous nursing on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the levels of serum creatinine(Scr)and blood urea nitrogen(BUN)in both groups were lower than those before intervention,and those of the study group were lower than the control group(P<0.05).After intervention,the self-management and General Self-Efficacy Scale(GSES)scores of both groups were higher than those before intervention,the Revised Piper Fatigue Scale(RPFS)score was lower than that before intervention,and those of the study group were better than the control group(P<0.05).After intervention,the scores of all dimensions of the World Health Organization Quality of Life-BREF(WHOQOL-BREF)in both groups were higher than those before intervention,and those of the study group were higher than the control group(P<0.05).After intervention,the Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores of both groups were lower than those before intervention,and those of the study group were lower than the control group(P<0.05).The total compliance rate of the study group was higher than that of the control group(P<0.05).Conclusion The timing theory-oriented continuous nursing applied in chronic renal failure patients undergoing MHD is conducive to improving the renal function,promoting self-management ability,self-efficacy and treatment compliance,reducing fatigue and negative mood,and improving the quality of life.
作者
雷圣英
樊栋亚
武阳
LEI Shengying;FAN Dongya;WU Yang(Blood Purification Room,Nanyang Central Hospital,Nanyang 473000,China)
出处
《临床医学研究与实践》
2023年第14期159-162,共4页
Clinical Research and Practice
关键词
时机理论
延续性护理
慢性肾衰竭
维持性血液透析
生活质量
timing theory
continuous nursing
chronic renal failure
maintenance hemodialysis
quality of life
