CARA适压减压训练护理在糖尿病肾病腹膜透析患者中的应用效果  

Application effects of CARA suitable pressure and decompression training nursing in peritoneal dialysis patients with diabetes nephropathy

作　　者：王黎昕 WANG Lixin(Department of Nephrology of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)

机构地区：[1]驻马店市中心医院肾内科,河南驻马店463000

出　　处：《中国民康医学》2023年第6期163-166,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察CARA适压减压训练护理在糖尿病肾病腹膜透析患者中的应用效果。方法:回顾性分析2019年1月至2021年2月该院收治的93例糖尿病肾病腹膜透析患者的临床资料,按照护理方法不同将其分为观察组(n=48)和对照组(n=45)。对照组予以常规护理,观察组在对照组基础上行CARA适压减压训练护理,比较两组遵医率,护理前、护理12周后医学应对问卷(MCMQ)评分、心理一致感量表(SOC-13)评分、自我护理能力测定量表(ESCA)评分、生活质量综合评定问卷(GQOLI-74)评分,以及护理满意度。结果:观察组遵医率为93.75%(45/48),高于对照组的73.33%(33/45),差异有统计学意义(P<0.05);护理后,两组MCMQ、SOC-13、ESCA、GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为93.75%(45/48),高于对照组的80.00%(36/45),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用CARA适压减压训练护理可提高糖尿病肾病腹膜透析患者遵医率,MCMQ、SOC-13、ESCA、GQOLI-74评分,以及护理满意度,效果优于单纯常规护理。Objective:To observe application effects of CARA suitable pressure and decompression training nursing in peritoneal dialysis patients with diabetes nephropathy.Methods:The clinical data of 93 peritoneal dialysis patients with diabetes nephropathy admitted to the hospital from January 2019 to February 2021 were retrospectively analyzed.They were divided into observation group(n=48)and control group(n=45)by using the random number table method.The control group received routine nursing,while the observation group received CARA suitable pressure and decompression training nursing based on that of the control group.The compliance rate,the medical coping modes questionnaire(MCMQ)score,the sense of coherence(SOC-13)score,the exercise of self-care agency(ESCA)score,the general quality of life inventory(GQOLI-74)score,and the nursing satisfaction were compared between the two groups before and after 12 weeks of nursing.Results:The compliance rate in the observation group was 93.75%(45/48),higher than 73.33%(33/45)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of MCMQ,SOC-13,ESCA,and GQOLI-74 in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction rate in the observation group was 93.75%(45/48),higher than 80.00%(36/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:CARA suitable pressure and decompression training nursing based on the routine nursing can improve the compliance rate,the scores of MCMQ,SOC-13,ESCA and GQOLI-74 and the nursing satisfaction of the peritoneal dialysis patients with diabetes nephropathy.Moreover,it is superior to single routine nursing.

关 键 词：CARA适压减压训练护理 糖尿病肾病 遵医率 应对行为 心理一致感 自我护理能力 生命质量 

分 类 号：R473.5[医药卫生—护理学]