目标管理理论下的干预模式在急性肾衰竭透析患者中的护理分析  

Analysis of the intervention mode under the theory of targeted management in acute renal failure patients on dialysis

作　　者：张丹[1] 张莹莹[1] 付晨[2] ZHANG Dan;ZHANG Ying-ying;FU Chen(Department of Intensive Care Unit,Beijing Jishuitan Hospital,Beijing 100035,China;Department of Nephrology,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院重症医学科,北京100035 [2]北京积水潭医院肾内科,北京100035

出　　处：《中国血液净化》2023年第2期149-152,共4页Chinese Journal of Blood Purification

摘　　要：目的探讨目标管理理论下的干预模式在急性肾衰竭(acute renal failure,ARF)透析患者中的应用价值。方法用随机数字表法将北京积水潭医院重症医学科2018~2021年收治的80例ARF透析患者分为观察组(40例)与对照组(40例),对照组采取常规护理干预模式,观察组在常规护理干预模式上实施目标管理理论下的护理干预模式,比较2组患者的急性生理与慢性健康评分(acute physiology and chronic health score,APACHEⅡ)、自我感受负担量表(self perceived burden scale,SPB)情况。结果干预后,观察组APACHEⅡ、SPB评分低于对照组(t=6.275,P=0.001;t=8.064,P=0.001)。观察组自我管理能力[躯体活动(t=7.236,P<0.001)、治疗行为(t=8.841,P<0.001)、社会心理活动=8.522,P<0.001)、饮食行为(t=5.699,P<0.001)]高于对照组。结论基于目标管理理论下的护理干预模式可有效改善重症医学科ARF患者的健康情况和自我感受,并提升患者的自我管理能力,值得临床推广使用。Objective To explore the value of the intervention mode under the theory of target management in dialysis patients with acute renal failure.Methods Using the random number table method,80 dialysis patients with severe acute renal failure treated in our hospital from 2018 to 2021 were divided into observation group(40 cases)and control group(40 cases).The control group adopted the routine intervention mode,and the observation group adopted the nursing intervention mode under the target management theory.The changes of self-perception health score,self-management ability and complications before and after intervention were compared between the two groups.Results After the intervention,the scores of acute physiology and chronic health score(APACHEⅡ)and self-perceived burden scale(SPB)were lower in the observation group than in the control group(t=6.275,P=0.001;t=8.064,P=0.001).The self-management abilities(physical activity t=7.236,P<0.001;treatment behavior t=8.841,P<0.001;social psychological activity t=8.522,P<0.001;eating behavior t=5.699,P<0.001)were higher in the observation group than in the control group.Conclusion The nursing intervention model based on the target management theory can effectively improve the health status and self-perception,and increase the self-management ability in the patients with acute renal failure in intensive care unit.This nursing intervention mode is worthy of clinical promotion and use.

关 键 词：急性肾衰竭 透析 目标管理理论 护理干预模式 

分 类 号：R473[医药卫生—护理学]