健康行为互动模式的护理在维持性血液透析患者干体质量管理行为中的应用  

Application of nursing based on health behavior interaction model on the dry weight management of maintenance hemodialysis patients

作　　者：高畅 GAO Chang(General Hospital of Xuzhou Mining Group,Xuzhou,221000,China)

机构地区：[1]徐州矿务集团总医院肾内科,江苏省徐州市221000

出　　处：《护理实践与研究》2022年第22期3382-3387,共6页Nursing Practice and Research

摘　　要：目的 探讨基于健康行为互动模式的护理指导在维持性血液透析患者干体质量管理行为中的应用。方法 2018年8月—2021年8月选取维持血液透析患者106例,按组间基本特征具有可比性的原则分为观察组和对照组,每组53例。对照组血液透析期间行常规容量管理健康教育,观察组血液透析期间实施基于健康行为互动模式的容量管理指导,比较两组干预前后疾病认知水平、自我效能、容量管理行为、体质量增加值与干体质量比例(IWGR%)、水肿及生活质量等指标改善情况。结果 干预后,观察组疾病认知总评分、自我效能评分、容量管理行为总评分及生活质量总评分均高于对照组(P<0.05)。干预后,观察组IWGR%较对照组下降(P<0.05);干预后,观察组水肿程度轻于对照组(P<0.05)。结论 基于健康行为互动模式的健康指导能促进维持性血液透析患者对疾病的积极认知,提高其自我效能,改善容量管理行为,有利于干体质量控制,减轻水肿程度,提高生活质量。Objective To explore the application of nursing based on health behavior interaction model in dry weight management behavior of maintenance hemodialysis patients. Methods To select 106 hemodialysis patients from August 2018 to August 2021, were selected, and they were divided into an observation group and a control group according to the principle of comparability of basic characteristics between groups, with 53 patients in each group. Routine volume management health education was conducted during hemodialysis in the control group, and volume management guidance based on health behavior interaction mode was implemented during hemodialysis in the observation group. The improvement of disease cognition level, self-efficacy, volume management behavior,the ratio of body mass increment to body mass(IWGR%), edema, quality of life and other indicators before and after intervention were compared between the two groups. Results After intervention, the total score of disease cognition, self-efficacy score, total score of volume management behavior, and total score of quality of life in the observation group were higher than those in the control group(P<0.05). After intervention, the IWGR% in the observation group was lower than that in the control group(P<0.05). After intervention, the degree of edema in the observation group was lighter than that in the control group(P<0.05). Conclusion Health guidance based on health behavior interaction model can promote the positive cognition of patients with maintenance hemodialysis on disease, improve their self-efficacy, improve capacity management behavior, help to control the dry weight, reduce the degree of edema, and improve the quality of life.

关 键 词：健康行为互动模式 维持性血液透析 干体质量管理行为 水肿 生活质量 

分 类 号：R473.5[医药卫生—护理学]