医院-社区-患者护理模式对出院居家慢性肾脏病患者自我效能的干预研究  

Intervention of hospital-community-patient integrated nursing model on self-efficacy of chronic kidney disease patients at home after discharge

作　　者：靳敬伟[1] 刘梅[2] JIN Jingwei;LIU Mei(Department of Nephrology,The Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China;不详)

机构地区：[1]河北医科大学第二医院肾内科,石家庄市050000 [2]河北医科大学第二医院预防保健处,石家庄市050000

出　　处：《河北医药》2022年第24期3834-3836,3840,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:20180359)。

摘　　要：目的探讨医院-社区-患者一体化护理模式对肾内科出院居家慢性肾脏病(CKD)患者自我效能的影响。方法选取河北医科大学第二医院肾内科2021年3~6月住院的CKD患者106例,分为对照组和干预组,每组53例。干预组运用一体化护理模式,对照组运用传统健康指导方式,于干预前、干预后3个月、干预后6个月评价自我效能。结果干预3、6个月后,干预组自我效能总分分别为(30.35±2.58)分、(33.59±2.68)分,高于对照组的(28.95±2.42)分、(29.10±2.12)分,差异有统计学意义(t=3.702、13.494,P<0.01)。结论医院-社区-患者一体化护理模式能明显提升出院CKD患者自我效能。Objective To investigate the efficacy of hospital-community-patient integrated nursing model on the self-efficacy in chronic kidney disease(CKD)patients at home who was discharged from nephrology.Methods CKD patients(n=106)who hospitalized in the Department of Nephrology,the Second Hospital of Hebei Medical University from March to June 2021,were randomized at 1:1 ratio to receive integrated nursing model(intervention group)or traditional health guidance(control group).Self-efficacy was performed on day 0,on months 3,6 of the intervention.Results After intervention,the 3-month and 6-month total scores of self-efficacy in the intervention group were significantly higher than those in the control group[(30.35±2.58),(33.59±2.68)vs(28.95±2.42),(29.10±2.12);respectively,t=3.702,13.494,P<0.01].Conclusion Hospital-community-patient integrated nursing model can significantly improve the self-efficacy of discharged CKD patients.

关 键 词：慢性肾脏病 自我效能 医院-社区-患者一体化护理模式 

分 类 号：R473.5[医药卫生—护理学]