以行为转变理论为基础的护理干预对血液透析患者自我管理行为及生活质量的影响  

Effect of nursing intervention based on behavior change theory on self-management behavior and quality of life of hemodialysis patients

作　　者：许凤霞[1] 李瑞华 刘芳 张晓速[4] 常玲玲[5] XU Fengxia;LI Ruihua;LIU Fang;ZHANG Xiaosu;CHANG Lingling(Department of Outpatient,Yidu Central Hospital of Weifang,Shandong Province,Qingzhou262500,China;Department of Nephrology,Shouguang Hexin Hospital,Shandong Province,Shouguang262700,China;Blood Purification Room,Weifang Endocrine and Metabolic Diseases Hospital,Shandong Province,Linqu262600,China;Room of Hemodialysis,Yidu Central Hospital of Weifang,Shandong Province,Qingzhou262500,China;Department of Nephrology,Yidu Central Hospital of Weifang,Shandong Province,Qingzhou262500,China)

机构地区：[1]山东省潍坊市益都中心医院门诊部,山东青州262500 [2]山东省寿光和信医院肾内科,山东寿光262700 [3]山东省潍坊内分泌与代谢病医院血液净化室,山东临朐262600 [4]山东省潍坊市益都中心医院血液透析室,山东青州262500 [5]山东省潍坊市益都中心医院肾脏内科,山东青州262500

出　　处：《中国当代医药》2023年第12期193-196,共4页China Modern Medicine

基　　金：山东省潍坊市卫健委科研项目(WFWSJK-2020-086)。

摘　　要：目的探讨在血液透析患者中采取以行为转变理论为基础的护理的效果。方法选取2020年7月至2022年6月潍坊市益都中心医院收治的96例血液透析患者作为研究对象,按照随机数字表法将分为对照组(48例)和观察组(48例)。对照组接受常规护理,观察组在常规护理基础上接受以行为转变理论为基础的护理,两组均持续护理3个月。比较两组患者护理前和护理3个月后的自我管理行为、生活质量和满意度。结果观察组自我管理行为中管理行为、限制行为、心理活动以及状态管理评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理后生活质量测定量表简表(QOL-BREF)中环境、生理、心理、社会评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为95.83%(46/48),高于对照组的83.33%(40/48),差异有统计学意义(P<0.05)。结论血液透析患者接受以行为转变理论为基础的护理,可提高患者自我管理行为水平,促进生活质量提升,从而获得更高的护理满意度。Objective To explore the effect of nursing based on behavioral change theory in hemodialysis patients.Methods A total of 96 hemodialysis patients admitted to Yidu Central Hospital of Weifang from July 2020 to June 2022 were selected as the research objects.According to the random number table method,they were divided into the control group(48 cases)and the observation group(48 cases).The control group received routine nursing,while the observation group received nursing based on transtheoretical model of behavior on the basis of routine nursing.Both groups received continuous nursing for 3 months.The self-management behavior,quality of life and satisfaction were compared between the two groups before nursing and 3 months after nursing.Results The scores of management behavior,restrictive behavior,psychological activity and state management in the self-management behavior of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores of environment,physiology,psychology and society in the quality of life brief scale(QOL-BREF)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.83%(46/48),which was higher than 83.33%(40/48)of the control group,and the difference was statistically significant(P<0.05).Conclusion Hemodialysis patients receiving nursing based on behavioral change theory can improve the self-management behavior level of patients,promote the improvement of quality of life,so as to obtain higher nursing satisfaction.

关 键 词：血液透析 行为转变理论 护理干预 自我管理行为 生活质量 满意度 

分 类 号：R459.5[医药卫生—治疗学]