聚焦解决护理干预模式在肾功能衰竭维持性血液透析中的应用  

Application of Nursing Intervention Mode of Focusing on Solving Problems in Continuous Hemodialysis of Renal Failure

作　　者：曹海珍[1] CAO Haizhen(Department of Nephrology,Second Hospital of Traditional Chinese Medicine,Tai'an 271000,China)

机构地区：[1]泰安市中医二院肾内科,山东泰安271000

出　　处：《中国医药指南》2023年第14期22-25,共4页Guide of China Medicine

摘　　要：目的 探讨聚焦解决护理干预模式在肾功能衰竭维持性血液透析中的应用价值。方法 选取2022年1月至2023年1月本院收治的肾功能衰竭接受维持性血液透析治疗患者80例为研究对象,按照随机数字法分为两组,各40例。对照组实施常规护理,观察组实施本研究聚焦解决护理干预模式,比较两组干预后肾功能衰竭疾病自我管理效能感指标,干预前后负性心理指标的焦虑、抑郁评分变化,统计两组干预后关于肾功能衰竭疾病自我负担感来源,分析干预后治疗依从性分级,肾功能衰竭疾病认知度及护理满意度评分。结果 观察组干预后肾功能衰竭疾病自我管理效能感指标分项中的自我减压、自我决策和面对疾病的正性态度评分均显著高于对照组(P <0.05)。干预后观察组负性心理指标的焦虑、抑郁评分均显著低于干预前及干预后对照组(P <0.05)。观察组患者肾功能衰竭疾病自我负担感的总负担比例显著低于对照组(P <0.05)。观察组干预后依从性良好比例为77.50%,显著高于对照组的27.50%(P <0.05);观察组肾功能衰竭疾病认知度及护理满意度评分均显著高于对照组(P <0.05)。结论 针对肾功能衰竭接受维持性血液透析者,聚焦解决护理干预模式,可有效的提高患者疾病自我管理能力,缓解负面情绪,降低疾病自我负担感,提高治疗依从性,从而更好的提高患者对肾功能衰竭疾病的主观认知度,提高护理满意度。Objective To explore the application value of focusing on solving nursing intervention model in continuous hemodialysis of renal failure.Methods Eighty patients with renal failure who received maintenance hemodialysis treatment from January 2022 to January 2023 in our hospital were selected as the research object,and were randomly divided into two groups,40 cases in each group.The control group was given routine nursing care,while the observation group was given this study to focus on solving the nursing intervention mode.The self-management efficacy index of renal failure diseases after intervention,the changes of anxiety and depression scores of negative psychological indicators before and after intervention were compared,the sources of self-burden of renal failure diseases after intervention were counted,and the treatment compliance grading after intervention,as well as the recognition of renal failure diseases and nursing satisfaction scores were analyzed.Results The scores of self-decompression,self-decisionmaking and positive attitude towards diseases in the observation group were significantly higher than those in the control group(P<0.05).After the intervention,the scores of anxiety and depression in the observation group were significantly lower than those before the intervention and those in the control group after the intervention.The total burden ratio of economic burden,emotional burden and physiological burden about the source of self-burden of renal failure disease in the observation group was significantly lower than that in the control group(P<0.05).After intervention,the good compliance ratio of the observation group was 77.50%,which was significantly higher than of the control group 27.50%(P<0.05).The scores of renal failure disease recognition and nursing satisfaction in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Focusing on solving the nursing intervention model for patients with renal failure undergoing continuous hemodialysis can effec

关 键 词：聚焦解决护理 护理模式 肾功能衰竭 维持性血液透析 

分 类 号：R473.5[医药卫生—护理学]