基于健康行为改变整合理论的全生命周期护理干预对维持性血液透析患者衰弱和生活质量的影响  

Impact of full life cycle nursing interventions based on health behavior changes integrated theory on frailty and quality of life in maintenance hemodialysis patients

作　　者：杨媛媛 李小燕 叶春慧 叶寅寅[2] YANG Yuanyuan;LI Xiaoyan;YE Chunhui;YE Yinyin(Department of Nephrology,Wannan Rehabilitation HospitalWuhu Fifth People’s Hospital,Anhui Province,Wuhu241000,China;Department of Nephrology,Yijishan Hospital,Wannan Medical College,Anhui Province,Wuhu241000,China)

机构地区：[1]皖南康复医院安徽省芜湖市第五人民医院肾内科,安徽芜湖241000 [2]皖南医学院弋矶山医院肾内科,安徽芜湖241000

出　　处：《中国医药导报》2024年第13期138-141,共4页China Medical Herald

基　　金：安徽省高等学校科学研究项目(2023AH051759)。

摘　　要：目的 探讨基于健康行为改变整合理论的全生命周期护理干预对维持性血液透析患者衰弱和生活质量的影响。方法 选取2021年1月至2022年12月在皖南康复医院接受治疗的维持性血液透析患者110例为研究对象,按照随机数字表法将其分为对照组和试验组,各55例。试验组接受基于健康行为改变整合理论的全生命周期护理干预,对照组进行常规护理。比较两组入组时及干预6个月时衰弱、透析指标、生活质量。结果 干预后,两组衰弱评分低于干预前,且试验组低于对照组(P<0.05)。两组尿素降低率、尿素清除指数低于干预前,且试验组低于对照组(P<0.05);两组血细胞比容高于干预前,试验组高于对照组(P<0.05)。两组生活质量评分高于干预前,且试验组高于对照组(P<0.05)。结论 基于健康行为改变整合理论的全生命周期护理干预能有效降低维持性血液透析患者的衰弱症状,改善透析相关指标,提高生活质量。Objective To explore impact of full life cycle nursing interventions based on health behavior changes integrated theory on frailty and quality of life in maintenance hemodialysis patients.Methods A total of 110 maintenance hemodialysis patients who received treatment in Wannan Rehabilitation Hospital from January 2021 to December 2022 were selected as the study objects,and they were divided into control group and experimental group according to random number table method,with 55 cases in each group.The experimental group received the fun life cycle nursing intervention based on the health behavior changes integrated theory,and the control group received routine nursing.Frailty,dialysis index,and quality of life were compared between the two groups at enrollment and six months after intervention.Results After intervention,frailty scores in both groups were lower than those before intervention,and those in experimental group were lower than those in control group(P<0.05).The urea reduction rate and urea clearance index in two groups were lower than those before intervention,and the experimental group was lower than the control group(P<0.05).The hematocrit of the two groups were higher than those before intervention,and that of the experimental group was higher than that of the control group(P<0.05).The quality of life scores of the two groups were higher than before intervention,and the experimental group was higher than the control group(P<0.05).Conclusion Full life cycle nursing interventions based on health behavior changes integrated theory can reduce frailty in maintenance hemodialysis patients,and improve dialysis indicators and quality of life.

关 键 词：健康行为改变整合理论 全生命周期 血液透析 衰弱 生活质量 

分 类 号：R473[医药卫生—护理学]