医护合作护理程序教育模式在轻度认知功能障碍血透患者中的应用  

Application of nursing process education model under doctor-nurse cooperation in hemodialysis patients with mild cognitive impairment

作　　者：童红霞 侯敬涛[1] 陈丽楠[1] 许曼丽[1] TONG Hongxia;HOU Jingtao;CHEN Linan;XU Manli(Guangzhou First People's Hospital,Nansha hospital,Guangzhou 511457,China)

机构地区：[1]广州市第一人民医院南沙医院,广州511457

出　　处：《广州医药》2018年第2期70-72,共3页Guangzhou Medical Journal

摘　　要：目的探讨医护合作护理程序教育模式在轻度认知功能障碍血透患者中的应用效果。方法对65例患者实施医护合作护理程序教育模式,2个月后对患者的健康教育知识掌握程度、自体动静脉内瘘自我护理能力、维持性透析依从性、满意度进行测评。结果医护合作护理程序教育模式后患者的健康教育知识掌握程度为92.31%、自体动静脉内瘘自我护理能力为27.11±3.26、维持性透析依从性是48.22±4.67、护理满意度是92.31%,均比护理程序教育前提高,护理程序教育前后比较差异均有统计学意义(P<0.01)。结论医护合作护理程序教育模式能提高患者的认知能力、自我护理能力和满意度,减少并发症,利于患者生活质量的提高。Objective To explore the effect of the application of nursing process education model under doctor-nurse cooperation in hemodialysis patients with mild cognitive impairment.Methods 65 patients received nursing process education model under doctor-nurse cooperation.After 2 months,these patients were assessed in terms of the level of knowledge about health education,autologous arteriovenous fistula self-care ability,compliance of maintenance dialysis and satisfaction.Results After the nursing process education model under doctor-nurse cooperation,the percentage of patients who became proficient at knowledge about health education was 92.31%,that of patients who showed autologous arteriovenous fistula self-care ability was 27.11±3.26,that of the patients who became compliant to maintenance dialysis was 48.22±4.67,and nursing satisfaction was 92.31%.These performances improved significantly,comparing to those before the nursing process education model under doctor-nurse cooperation.The differences between before and after the model have statistical significance(P<0.01).Conclusion The nursing process education model under doctor-nurse cooperation may improve patients cognitive ability,self-care ability and satisfaction.It also reduces complications and helps patients to increase the quality of life.

关 键 词：轻度认知功能障碍血透患者 医护合作 护理程序教育模式 认知能力 自我护理能力 

分 类 号：R473.74[医药卫生—护理学]