分阶段行为护理模式预防长期血液透析病人透析失衡综合征的效果  

Effect of staged behavioral nursing model on the prevention of dialysis imbalance syndrome in long-term hemodialysis patients

作　　者：李巧[1] LI Qiao(West China Hospital,Sichuan University,Sichuan 610000 China)

机构地区：[1]四川大学华西医院,610051

出　　处：《全科护理》2020年第9期1098-1100,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨分阶段行为护理模式预防长期血液透析病人透析失衡综合征的效果。[方法]2017年6月-2018年6月选取某院收治的长期血液透析病人92例,根据随机数字表法将病人分为观察组及对照组各46例,对照组血液透析期间实施常规性护理,观察组透析期间实施分阶段行为护理模式,干预时间为6个月,比较两组病人液体摄入控制依从率、透析失衡综合征发生率、行为管理评分及生活质量评分。[结果]观察组病人治疗依从率高于对照组(P<0.05),而透析失衡综合征发生率低于对照组(P<0.05)。观察组病人干预后饮食及液体摄入能力、运动管理能力、遵医用药、内瘘自我保护、情绪管理、并发症监测等方面评分高于对照组(P<0.05)。观察组病人干预后社会关系、躯体症状、环境领域、心理领域及总生活质量评分均高于对照组(P<0.05)。[结论]分阶段行为护理模式能有效提高长期血液透析病人行为管理能力,提高病人治疗依从率,从而有效预防透析综合征发生,提高病人生活质量。Objective:To probe into the effect of staged behavioral nursing model on prevention of dialysis imbalance syndrome in longterm hemodialysis patients.Methods:A total of 92 cases of long-term hemodialysis patients admitted to a hospital from June 2017 to June 2018 were selected.According to the random number table,the patients were divided into observation group and control group,46 cases in each.The patients in control group were performed with routine nursing and the patients in observation group were performed with staged nursing model during the dialysis period.The intervention time was 6 months.The compliance rate of fluid intake control,incidence of dialysis imbalance syndrome,behavior management score and quality of life score were compared between the two groups.Results:The treatment compliance rate in observation group was higher than that in control group(P<0.05),and the incidence of dialysis imbalance syndrome was lower than that in control group(P<0.05).After intervention,the scores of dietary and fluid intake,exercise management,compliance with medical drugs,internal fistula self-protection,emotional management,and complications monitoring of the patients in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of social relationship,physical symptoms,environmental field,psychological field and total quality of life scores of patients in the observation group were higher than those in the control group(P<0.05).Conclusions:The staged behavioral nursing model can effectively improve the behavioral management ability of long-term hemodialysis patients,improve the treatment compliance rate of patients,so as to effectively prevent the occurrence of dialysis syndrome and improve the quality of life of patients.

关 键 词：分阶段护理模式 长期血液透析 行为管理 透析失衡综合征 生活质量 

分 类 号：R473.5[医药卫生—护理学]