基于自我调节下的疾病感知护理结合膳食结构管理对尿毒症维持性血液透析患者排便情况及疾病压力的影响  

Effects of disease perception nursing based on self-regulation combined with dietary structure management on defecation and disease stress in patients with uremic maintenance hemodialysis

作　　者：韩俊 丁宝霞 石娟 HAN Jun;DING Baoxia;SHI Juan(Xianyang Hospital of Yan'an University,Xianyang 712000,China)

机构地区：[1]延安大学咸阳医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第12期139-142,共4页Clinical Research and Practice

基　　金：2021年度延安大学咸阳医院院内科学研究基金项目(No.2021ZX021)。

摘　　要：目的 探讨基于自我调节下的疾病感知护理结合膳食结构管理在尿毒症维持性血液透析患者中的应用效果。方法 选取2020年1月至2022年1月我院收治的200例尿毒症维持性血液透析患者作为研究对象,随机将其分为对照组和观察组,每组100例。对照组实施常规护理,观察组实施基于自我调节下的疾病感知护理结合膳食结构管理。比较两组的干预效果。结果 干预后,观察组的血肌酐(Cr)、血尿素氮(BUN)水平低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的便秘症状各项评分均低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的简易疾病感知问卷(BIPQ)各项评分均高于对照组,差异具有统计学意义(P<0.05)。结论 基于自我调节下的疾病感知护理结合膳食结构管理可改善尿毒症维持性血液透析患者的肾功能,促进其排便情况改善和疾病压力减轻,值得推广。Objective To explore the application effect of disease perception nursing based on self-regulation combined with dietary structure management in patients with uremia maintenance hemodialysis.Methods A total of 200 patients with uremia maintenance hemodialysis admitted in our hospital from January 2020 to January 2022 were selected as the research objects and randomly divided into control group and observation group,with 100 cases in each group.The control group was given routine nursing,while the observation group was given disease perception nursing based on self-regulation combined with dietary structure management.The intervention effects of the two groups were compared.Results After intervention,the levels of serum creatinine(SCr)and blood urea nitrogen(BUN)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the items scores of constipation symptoms in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the items scores of the Brief Illness Perception Questionnaire(BIPQ)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The disease perception nursing based on self-regulation combined with dietary structure management can improve the renal function of patients with uremic maintenance hemodialysis,promote the improvement of defecation and the reduction of disease pressure,which is worthy of promotion.

关 键 词：疾病感知护理 膳食结构管理 尿毒症 维持性血液透析 排便情况 疾病压力 

分 类 号：R473[医药卫生—护理学]