精细化管理ORTCC模型在维持性血液透析肌少症患者管理中的应用  

Refined management practice based on ORTCC model of myasthenia syndrome in maintenance hemodialysis

作　　者：任莉洁 谢怡灵 吴倩琳 朱瑜[1] 魏巧兰[1] Ren Lijie;Xie Yiling;Wu Qianlin;Zhu Yu;Wei Qiaolan(Department of Nephrology,Jiangsu province Hospital of Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]江苏省中医院/南京中医药大学附属医院肾内科,江苏南京210029

出　　处：《护理学杂志》2023年第10期26-30,共5页Journal of Nursing Science

基　　金：江苏省中医院院级课题(Y21042)。

摘　　要：目的探讨精细化管理ORTCC模型在维持性血液透析肌少症患者管理中的应用效果。方法将2022年2~6月行维持性血液透析治疗的62例肌少症患者按病区分为对照组与干预组,各31例。对照组采用常规护理,干预组在此基础上采用精细化管理ORTCC模型(围绕目标、规则、训练、考核和文化5个要素)实施管理,干预6个月后评价效果。结果干预组患者骨骼肌质量指数、上臂肌肉围度、简易躯体功能量表评分,握力、步速、知识掌握率显著高于对照组(均P<0.05)。结论精细化管理ORTCC模型的应用可改善肌少症相关指标,提高机体功能,提升患者知识掌握度,利于对患者的精准管理。Objective To investigate the effect of a refined management based on ORTCC model in maintenance hemodialysis patients with sarcopenia.Methods Sixty-two patients with sarcopenia who underwent MHD in our hospital from February to June 2022 were divided into control group(n=31)and intervention group(n=31).The control group was given routine nursing care.The intervention group was given a refined management mode based on the ORTCC model.Refined management was implemented around five elements:objective,rules,training,check and culture.Skeletal muscle mass,muscle strength,physical function and patients′mastery of knowledge related to maintenance hemodialysis sarcopenia were evaluated after 6 months of intervention.Results The scores of skeletal muscle mass index,upper arm muscle circumference and simple physical function scale,the grip strength,walking speed and knowledge holding rate in the intervention group were significantly higher than those in the control group(P<0.05 for all).Conclusion The refined management mode based on the ORTCC model can improve the related indexes of sarcopenia,improve body function,enhance patients′knowledge mastery,and contribute to the accurate management of patients.

关 键 词：维持性血液透析 肌少症 ORTCC模型 精细化管理 躯体功能 护理干预 

分 类 号：R473.5[医药卫生—护理学]