亲情-责任交互式护理模式在老年慢性肾脏病患者中的应用效果  

Application effect of family-responsibility interactive nursing model on elderly patients with chronic kidney disease

作　　者：黄娅丽 温怡[1] 陈启花[1] 伍梦寒 苟玉竹 HUANG Yali;WEN Yi;WU Qihua;WU Menghan;GOU Yuzhu(West China Hospital,Sichuan University,Chengdu,610000,China)

机构地区：[1]四川大学华西医院肾脏内科,四川省成都市610000

出　　处：《护理实践与研究》2022年第11期1680-1684,共5页Nursing Practice and Research

摘　　要：目的 探讨亲情-责任交互式护理模式对1~3期老年慢性肾脏病患者的影响。方法 选择2018年8月—2019年7月医院收治的1~3期老年慢性肾脏病患者76例,按照组间基本特征具有可比性的原则分为对照组和观察组,每组38例。对照组采取常规护理,观察组应用亲情-责任交互式护理模式。比较两组患者的Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)、疾病应对方式评分、遵医行为、肾功能指标、护理质量。结果 开展亲情-责任交互式护理后的末次随访时,观察组患者的SAS、SDS、回避、屈服评分均低于对照组,积极面对评分高于对照组,差异有统计学意义(P <0.05);合理饮食、遵医用药、规律运动、保持良好生活习惯、定期复查的依从性以及护理质量评分均高于对照组,差异有统计学意义(P<0.05);血尿素氮(BUN)、血肌酐(Scr)以及24 h尿蛋白定量均低于对照组,差异有统计学意义(P<0.05)。结论 亲情-责任交互式护理模式可减轻1~3期老年慢性肾脏病患者的负性情绪,使其积极面对疾病,改善肾功能,促进身体康复。Objective To explore the effect of family-responsibility interactive nursing model on elderly patients with stage 1~3 chronic kidney disease. Methods 76 elderly patients with stage 1~3 chronic kidney disease admitted in the hospital from August 2018 to July 2019 were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups, 38 cases in each group. The control group was given routine nursing, the observation group was given family-responsibility interactive nursing. Zung Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), disease coping style score, medical compliance behavior, renal function related indicators and nursing quality were compared between two groups. Results At the last follow-up after family-responsibility interactive nursing, the scores of SAS, SDS, avoidance and yield in the observation group were lower than the control group, and positive coping scores were higher than the control group, the differences were statistically significant(P<0.05). Reasonable diet, medical medicine compliance, regular exercise, good living habits, regular review compliance and nursing quality score were higher than the control group, the difference was statistically significant(P<0.05). The levels of Blood Urea Nitrogen(BUN), blood creatinine(Scr) and 24 h urine protein were lower than the control group, the differences were statistically significant(P<0.05). Conclusion The interactive nursing model of family affection and responsibility can relieve the negative emotion of the aged patients with chronic kidney disease at stage 1-3,make them face the disease positively, improve renal function and promote physical recovery.

关 键 词：老年 慢性肾脏病 亲情-责任交互式护理 负性情绪 应对方式 

分 类 号：R473.5[医药卫生—护理学]