层级全责护理的健康教育干预对肾移植术后患者遵医行为的影响  

Effect of Health Education Intervention of Hierarchical Full Responsibility Nursing on Compliance Behavior of Patients after Renal Transplantation

作　　者：柴艳美 CHAI Yan-mei(Zhengzhou Seventh People's Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《黑龙江医学》2022年第12期1501-1503,1507,共4页Heilongjiang Medical Journal

基　　金：河南省自然科学基金项目(180204558841)。

摘　　要：目的:探讨层级全责护理的健康教育干预对肾移植术后患者遵医行为的影响。方法:选取2019年6月—2020年6月郑州市第七人民医院收治的84例肾移植术后患者作为研究对象,按随机数表法分为对照组和观察组,每组各42例。对照组采用常规健康教育干预,观察组予以层级全责护理的健康教育干预,两组患者均持续干预3个月。对比分析两组患者遵医行为、睡眠质量及心理状态、生活质量评分。结果:观察组遵医率高于对照组,差异有统计学意义(χ^(2)=5.126,P<0.05);干预前,两组患者匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及健康调查量表(SF-36)中生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能及精神健康维度评分相比,差异无统计学意义(t=0.206、0.111、0.068、0.120、0.372、0.154、0.125、0.212、0.309、0.154、0.076,P>0.05);干预后,观察组PSQI、SAS、SDS评分低于对照组,且SF-36量表中各维度评分均高于对照组,差异有统计学意义(t=4.403、6.099、6.594、3.706、4.718、0.160、3.855、3.617、5.502、3.981、3.322,P<0.05)。结论:层级全责护理的健康教育干预能够提高肾移植术后患者的遵医行为,改善心理状态及睡眠质量,促进术后更快恢复,提升患者生活质量。Objective:To explore the effect of health education intervention of hierarchical full responsibility nursing on medical compliance of patients after renal transplantation.Methods:84 patients after renal transplantation treated in the hospital from June 2019 to June 2020 were randomly divided into two groups,with 42 cases in each group.The control group received routine health education,and the observation group received health education of hierarchical full responsibility nursing.Both groups continued to intervene for 3 months.The compliance behavior,sleep quality,psychological state and quality of life of the two groups were compared and analyzed.Results:The compliance rate of patients in the observation group was higher than that in the control group,and the difference was statistically significant(χ^(2)=5.126,P<0.05).Before the intervention,there was no statistically significant difference in the scores for physical functioning,physical functioning,physical pain,general health,energy,social functioning,emotional functioning,and mental health dimensions of Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Health Survey Scale(SF-36)between the two groups of patients(t=0.206,0.111,0.068,0.120,0.372,0.154,0.125,0.212,0.309,0.154,0.076,P>0.05).After the intervention,the PSQI,SAS and SDS scores of the observation group were lower than those of the control group,and the scores of each dimension in the SF-36 scale were higher than those of the control group,and the differences were statistically significant(t=4.403,6.099,6.594,3.706,4.718,0.160,3.855,3.617,5.502,3.981,3.322,P<0.05).Conclusion:The health education of hierarchical full responsibility nursing can improve the compliance behavior of patients after renal transplantation,improve their psychological state and sleep quality,promote their faster recovery and improve their quality of life.

关 键 词：肾移植 层级全责护理 健康教育干预 遵医行为 心理状态 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]