引导式护理干预对维持性血液透析患者的影响  

Effect of Guided Nursing Intervention on Patients with Maintenance Hemodialysis

作　　者：秦红菊[1] 於亚红 倪海燕[1] Qin Hongju;Yu Yahong;Ni Haiyan(Nantong Municipal Third People's Hospital,Nantong Jiangsu 226000,China)

机构地区：[1]南通市第三人民医院,江苏南通226000

出　　处：《齐鲁护理杂志》2018年第23期26-29,共4页Journal of Qilu Nursing

摘　　要：目的:探讨引导式护理干预在维持性血液透析(MHD)患者的影响。方法:选取106例行MHD患者为研究对象,根据随机数字表法分为观察组和对照组各53例,对照组采取常规肾内科护理干预,观察组在此基础上实施引导式护理干预。比较干预前后两组患者疾病认知程度[疾病感知问卷-简体中文版(IPQ-R)]、自护能力[自我护理能力量表(ESCA)]、自我效能感[一般自我效能感量表(GSES)]、生活质量[肾脏疾病与生活质量量表(KDQo L-SFTM 1. 3)]、容量管理能力[容量管理行为量表(CMBS)]、家属心理负担[照顾者反应评估量表(CRA)]变化,并分析3个月内两组患者并发症发生情况。结果:干预后两组IPQ-R、ESCA、GSES、KDQo L-SFTM 1. 3、CMBS评分均较干预前有显著提升,且观察组明显高于对照组(P <0. 05);两组家属CRA各项评分及总分均较干预前有显著下降,且观察组明显低于对照组(P <0. 05)。3个月内观察组并发症总发生率明显低于对照组(P <0. 05)。结论:引导式护理干预能有效改善MHD患者疾病认知程度及自护能力,降低其治疗期间并发症发生率。Objective:To explore the impact of guided nursing interventions in patients with maintenance hemodialysis(MHD).Methods:A total of106patients with MHD were selected as the study subjects.According to the random number table method,they were divided into observation group and control group,53cases in each group.The control group received routine nephrology nursing intervention,and the observation group implemented guided nursing intervention on this basis.The disease cognition[Disease Awareness Questionnaire-Simplified Chinese(IPQ-R)],self-care ability[Self-care Ability Scale(ESCA)],self-efficacy[Self-efficacy Scale(GSES)],quality of life[Kidney Disease and Quality of Life Scale(KDQoL-SFTM1.3)],capacity management ability[Capacity Management Behavior Scale(CMBS)],and family members′psychological burden[Caregiver Response Assessment Scale(CRA)]were compared between the two groups before and after intervention.The complications of the two groups were analyzed within3months.Results:After intervention,the scores of IPQ-R,ESCA,GSES,KDQoL-SFTM1.3and CMBS in the two groups were significantly higher than those before intervention,and the scores in the observation group were significantly higher than those in the control group(P<0.05).The CRA scores and total scores of the family members of the two groups were significantly lower than those before intervention,and the observation group was significantly lower than that of the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group within3months(P<0.05).Conclusion:Guided nursing intervention can effectively improve the disease awareness and self-care ability of patients with MHD,and reduce the incidence of complications during treatment.

关 键 词：引导式护理 维持性透析 疾病认知 自护能力 

分 类 号：R473.5[医药卫生—护理学]