分层个案管理对慢性肾病维持血液透析患者自我管理能力及生活质量的影响  

Effects of stratified case management on maintaining self-management ability and quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis

作　　者：戴美芬 刘艳 黄桂芳 张华雪 吴国新 吴智鑫[2] 区洁芬 DAI Meifen;LIU Yan;HUANG Guifang;ZHANG Huaxue;WU Guoxin;WU Zhixin;OU Jiefen(Nanhai Hospital Affiliated to Southern Medical University,Foshan Guangdong 528200;Foshan Hospital of Traditional Chinese Medicine)

机构地区：[1]南方医科大学附属南海医院,广东佛山528200 [2]佛山市中医院

出　　处：《天津护理》2024年第2期146-150,共5页Tianjin Journal of Nursing

摘　　要：目的:探讨分层个案管理对慢性肾病维持血液透析(MHD)患者自我管理能力及生活质量的影响。方法:2021年1月至12月选取慢性肾病MHD患者96例为研究对象,应用随机数字表将患者分为观察组及对照组各48例。对照组给予常规性护理干预,观察组给予分层个案管理,比较两组干预前及干预3个月自我管理能力及生活质量改善情况,并记录两组随访3个月血液透析并发症发生情况。结果:观察组干预后MHD自我管理行为量表(SMSH)总分及简明健康状况量表(SF-36)各维度评分均高于对照组,差异有统计学意义(P<0.05)。随访期间观察组血液透析并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:分层个案管理能有效提高慢性肾病MHD患者自我管理能力,降低患者血液透析并发症发生,改善患者生活质量。Objective:To explore the effect of stratified case management on maintaining self-management ability and quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis.Methods:A total of 96 cases of patients with chronic kidney disease undergoing maintenance hemodialysis(MHD)were included from January 2021 to December 2021.The patients were divided into observation group(n=48)and control group(n=48)by random number table.The control group received routine nursing intervention.The observation group received stratified case management.The improvement of self-management ability and quality of life in two groups before intervention and after 3 months intervention were compared.The occurrence of adverse events of hemodialysis during the 3-month follow-up of two groups were recorded.Results:The MHD Self-Management Behavior Scale(SMSH)score and Brief Health Status Scale(SF-36)related dimension scores of the observation group were significantly higher than the control group after intervention(P<0.05).The incidence of hemodialysis adverse events of the observation group were significantly lower than the control group during the follow-up period(P<0.05).Conclusion:Stratified case management can effectively improve the self-management ability of patients with chronic kidney disease undergoing MHD,reduce the occurrence of hemodialysis adverse events,and improve the quality of life of patients.

关 键 词：分层个案管理 维持血液透析 自我管理能力 并发症 生活质量 

分 类 号：R459.5[医药卫生—治疗学]