IKAP模式护理干预对腹膜透析患者的应用效果  

Effect of IKAP nursing intervention on peritoneal dialysis patients

作　　者：薛志杰 王荔[1] 张洪艳 孙丽佳[1] 刘鉴辉 杜秀红 Xue Zhijie;Wang Li;Zhang Hongyan;Sun Lijia;Liu Jianhui;Du Xiuhong(Department of Nephrology,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院肾内科,300211

出　　处：《国际生物医学工程杂志》2021年第6期470-473,478,共5页International Journal of Biomedical Engineering

基　　金：天津市科技计划项目(21YDTPJC00670)。

摘　　要：方法回顾性分析2020年1月~2020年12月于天津医科大学第二医院收治的120名PD患者的临床资料,采用随机数字表法将患者分为对照组和观察组,每组各60例。观察组:男性32例、女性28例,年龄(56.16±10.25)岁;其中糖尿病肾病18例、慢性肾小球肾炎22例、高血压肾病20例;对照组:男性34例、女性26例,年龄(56.27 ±10.34)岁;其中糖尿病肾病14例、慢性肾小球肾炎18例、高血压肾病28例。对照组患者予常规护理;观察组给予常规护理外,采用IKAP模式进行护理干预,分别于干预前和干预6个月后对两组患者的血红蛋白(Hb)、血清白蛋白(ALB)的水平、综合营养评估评分(SGA)、护理满意度等情况进行比较。干预组干预前、后的计量资料的比较采用配对样本t检验进行分析,频数资料比较采用卡方(χ^(2))检验进行分析。结果在干预前,观察组和对照组在Hb、ALB水平和SGA间的比较,其差异无统计学意义(t=1.001~1.743,均P>0.05);在干预后,观察组的SGA评分低于对照组,而ALB和Hb水平均高于对照组,两组间的差异均有统计学意义(t=3.411~5.050,均P<0.05)。观察组患者的满意度为95%,对照组为78.33%,两组间的差异有统计学意义(χ^(2)=7.212,P<0.05)。结论对于PD患者采用IKAP模式护理干预不仅能有效改善患者的营养状况,而且可增加患者对护理的满意度,IKAP护理干预模式值得临床推广。Objective To explore the clinical effect of"information knowledge belief practice"model,namely"IKAP theory"nursing intervention model on patients with peritoneal dialysis(PD).Methods The clinical data of 120 patients with PD treated in The Second Hospital of Tianjin Medical University from January 2020 to December 2020 were analyzed retrospectively.The patients were randomly divided into control group and observation group,with 60 cases in each group.In the observation group,there were 32 males and 28 females with an age range of(56.16±10.25)years,including 18 cases of diabetic nephropathy,22 cases of chronic glomerulonephritis and 20 cases of hypertensive nephropathy.In the control group,there were 34 males and 26 females,with an age range of(56.27±10.34)years,including 14 cases of diabetic nephropathy,18 cases of chronic glomerulonephritis and 28 cases of hypertensive nephropathy.The patients in the control group were given routine nursing.In addition to the routine nursing,the patients in the observation group also adopted IKAP mode for nursing intervention.The levels of hemoglobin(HB),serum albumin(ALB),comprehensive nutrition assessment score(SGA)and nursing satisfaction of the two groups were compared before and 6 months after the intervention.The comparison of measurement data before and after intervention in the intervention group was analyzed by paired sample t-test.Frequency data were compared and analyzed by Chi-square(χ^(2))test.Results Before the intervention,there was no significant difference in ALB,Hb levels and SGA between the observation group and the control group(t=1.001~1.743,all P>0.05).After the intervention,the SGA score of the observation group was lower than that of the control group,while the levels of ALB and Hb were higher than those of the control group,and the differences between the two groups were statistically significant(t=3.411~5.050,all P<0.05).The satisfaction of patients in the observation group was 95%,while that in the control group was 78.33%,and the difference between

关 键 词：腹膜透析 IKAP模式 护理干预 

分 类 号：R473.5[医药卫生—护理学]