三维质量评价模式在肾移植术后腹泻患者中的临床应用价值  

Clinical value of three-dimensional quality evaluation model in patients with diarrhea after kidney transplantation

作　　者：高冉冉 黄媛媛[1] 金萍[1] 张成伟 GAO Ranran;HUANG Yuanyuan;JIN Ping;ZHANG Chengwei(Department of Urology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Jiangsu Province,Nanjing 210000,China)

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,江苏南京210000

出　　处：《中国医药导报》2022年第18期141-144,165,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81902581);江苏省南京市卫生科技发展专项资金项目(YKK18056)。

摘　　要：目的探讨三维质量评价模式在肾移植术后腹泻患者中的应用效果。方法选择2018年3月至2020年3月南京大学医学院附属鼓楼医院收治的肾移植术后腹泻患者106例,采用随机数字表法将其分为对照组和观察组,每组各53例。对照组行常规干预,观察组行结构-过程-结构三维质量评价模式干预。比较两组干预后肛周皮炎发生情况、干预前后负性情绪、生活质量变化及满意度情况。结果干预后,观察组肛周皮炎发生率低于对照组(P<0.05);两组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于干预前,且观察组低于对照组(P<0.05);两组生活质量各维度评分均高于干预前,且观察组高于对照组(P<0.05);观察组满意度评分高于对照组(P<0.05)。结论肾移植术后腹泻患者中应用三维质量评价模式可降低肛周皮炎发生率,缓解负性情绪,从而提高生活质量及患者满意度。Objective To explore the effect of applying three-dimensional quality evaluation model in patients with diarrhea after kidney transplantation.Methods A total of 106 patients with diarrhea after kidney transplantation admitted to Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School from March 2018 to March 2020 were selected.The patients were divided into control group and observation group by random number table method,with 53 cases in each group.The control group received routine intervention,and the observation group received structure process structure three-dimensional quality evaluation model intervention.The incidence of perianal dermatitis,negative emotion,quality of life and satisfaction before and after intervention were compared between the two groups.Results After the intervention,the incidence of perianal dermatitis in the observation group was lower than that in the control group(P<0.05);the scores of Hamilton anxiety scale and Hamilton depression scale in both groups were lower than before intervention,and the scores of the observation group were lower than those of the control group after intervention(P<0.05);the scores of all dimensions of quality of life in the two groups were higher than before intervention,and the scores of all dimensions of quality of life in the observation group were higher than the control group(P<0.05),and the scores of satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion The application of three-dimensional quality evaluation model in patients with diarrhea after renal transplantation can reduce the incidence of perianal dermatitis,relieve negative emotions,and improve the satisfaction of patients with quality of life.

关 键 词：肾移植 腹泻 三维质量评价模式 肛周皮炎 负性情绪 生活质量 满意度 

分 类 号：R473[医药卫生—护理学]