基于症状管理理论的护理干预对慢性肾脏病病人动静脉内瘘术后影响  

Effect of nursing intervention based on symptom management theory on postoperative arteriovenous fistula in patients with chronic kidney disease

作　　者：陈思农 周静[2] 吴雪平[1] CHEN Si-nong;ZHOU Jing;WU Xue-ping(Department of Nephrology,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China;Department of Nursing,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院肾病科,安徽蚌埠233004 [2]蚌埠医学院第一附属医院护理部,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2023年第5期691-695,共5页Journal of Bengbu Medical College

基　　金：蚌埠医学院自然科学基金项目(BYKY1775)。

摘　　要：目的:探讨基于症状管理理论的慢性肾脏病病人动静脉内瘘术后症状管理效果。方法:采用类实验研究设计,便利选取84例拟行动静脉内瘘术的慢性肾脏病病人,按照入院时间分为对照组41例与观察组43例。对照组接受常规围手术期护理,观察组在对照组基础上实施基于症状管理理论的护理干预。评估2组病人动静脉内瘘术后患肢出血、肿胀及血栓形成等症状发生情况,比较2组干预前后自我管理能力和生活质量。结果:观察组术后患肢出血、肿胀及血栓形成均少于对照组(P<0.05~P<0.01)。干预前,2组病人自我管理能力和生活质量各维度得分、总分差异均无统计学意义(P>0.05);干预后,观察组自我管理能力和生活质量各维度得分、总分均明显高于对照组(P<0.01)。结论:基于症状管理理论的护理干预能有效减少慢性肾脏病病人动静脉内瘘术后患肢出血和肿胀等症状发生,有助于提高病人的自我管理能力及生活质量。Objective:To investigate the effect of postoperative symptom management based on symptom management theory on arteriovenous fistula in patients with chronic kidney disease.Methods:Using a quasi experimental study design,84 patients with chronic kidney disease who planned to undergo arteriovenous fistula surgery were conveniently selected and divided into a control group of 41 cases and an observation group of 43 cases based on admission time.The control group received routine perioperative nursing,and the intervention group implemented a nursing intervention based on symptom management theory basis on the control group.The occurrence of symptoms such as limb bleeding,swelling,and thrombosis after arteriovenous fistula surgery in two groups of patients were evaluated,and their self-management ability and quality of life before and after intervention were compared.Results:The postoperative bleeding,swelling,and thrombosis of the affected limb in the observation group were less than those in the control group(P<0.05 to P<0.01).Before intervention,there was no statistically significant difference in each dimension scores and total scores of self-management ability and quality of life between the two groups of patients(P>0.05).After intervention,each dimension scores and total scores of self-management ability and quality of life in the observation group were significantly higher than those in the control group(P<0.01).Conclusions:Nursing interventions based on symptom management theory can effectively reduce the occurrence of symptoms such as limb bleeding and swelling in patients with chronic kidney disease after arteriovenous fistula surgery,and help improve their self-management ability and quality of life.

关 键 词：动静脉内瘘术 症状管理理论 自我管理能力 生活质量 

分 类 号：R473[医药卫生—护理学]