协同护理模式对血液透析患者自我护理能力和透析治疗依从性的影响  

The effect of collaborative care model on self-care agency and medical treatment adherence in maintenance hemodialysis patients

作　　者：雷延兰[1] 罗玲[1] 陈莉[1] 李萍[1] 刘红[1] 

机构地区：[1]重庆市第九人民医院肾内科,重庆400700

出　　处：《中国血液净化》2016年第1期58-62,共5页Chinese Journal of Blood Purification

基　　金：重庆市北碚区科委2014-33号项目

摘　　要：目的探讨协同护理模式对血液透析患者自我护理能力和透析依从性的影响。方法使用便利抽样法选取血液透析患者119名,其中71名为实验组,48名为对照组,两组均接受自我护理量表和透析治疗依从性量表的前测。实验组接受协同护理模式护理,对照组接受常规护理,干预后4~5个月,两组接受后测。使用独立样本t检验和配对样本t检验比较实验组自我护理能力和透析依从性改变的有效性。结果干预后实验组自我护理能力量表评分（90.27±13.12 vs.96.15±8.48,t=-5.140,P=0.000）和透析治疗依从性量表评分（80.32±10.71 vs.86.58±8.18,t=-6.948,P=0.000）较干预前有显著提升。干预后实验组自我护理能力量表评分（96.15±8.4 vs.90.25±10.52,t=3.376,P=0.001）和透析治疗依从性量表评分（86.58±8.18 vs.80.98±9.14,t=3.509,P=0.001）较对照组也有显著提升。结论协同护理模式可以有效提高血液透析患者的自我护理能力和透析治疗依从性。Objective To evaluate the effect of collaborative care model on self-care agency and medical treatment adherence in maintenance hemodialysis（MHD） patients. Methods A total of 119 MHD patients were recruited from Chongqing Ninth People＇s Hospital by using convenience sampling method, and randomly assigned into experimental group（n=71） or control group（n=48）. Patients in both groups were assessed with the Exercise of Self- care Agency Scale（ESCA） and the specific medical treatment adherence scale. Patients in experimental group received collaborative care and those in control group were treated with routine care. After 4-5 months, they were assessed with the scales again. Independent t test and paired sample t test were used to explore the effect of collaborative care on patients＇ self-care agency and treatment adherence. Result Self- care agency（t =- 5.140, P=0.000） and medical treatment adherence（t =- 6.948, P=0.000）were significantly improved in the experimental group after the intervention. Additionally, self-care agency（t=3.376, P=0.001） and medical treatment adherence（t=3.509, P=0.001） were also significantly higher in experimental group after the intervention than in control group. Conclusion Collaborative care model can significantly improve self-care agency and medical treatment adherence in MHD patients.

关 键 词：协同护理模式 自我护理能力 透析依从性 

分 类 号：R473[医药卫生—护理学]