家属赋能联合信息化服务对改善尿毒症血液透析病人依从性及生存质量的影响  

The Influence of Family Empowerment Combined Information Service on Improving Compliance and Quality of Life of Uremic Hemodialysis Patients

作　　者：汪超雅 张琳[1] 王桂华 王珂 WANG Chao-ya;ZHANG Lin;WANG Gui-hua;WANG Ke(Blood Purification Center,Henan Provincial People's Hospital,Zhengzhou 450003,Henan Provnince,China)

机构地区：[1]河南省人民医院血液净化中心,河南郑州450003

出　　处：《罕少疾病杂志》2024年第12期153-154,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关联合共建项目(LHGJ20211623)。

摘　　要：目的探讨家属赋能联合信息化服务对改善尿毒症血液透析病人依从性及生存质量的影响。方法方便抽样法选取2022年7月至2023年7月在本院进行血液透析的尿毒症患者162例,按随机数字表法分组,即对照组(n=81)和观察组(n=81),对照组接受常规护理,观察组接受家属赋能联合信息化服务。分别于干预前、干预后3月依从性量表评估依从性,肾脏病生存质量简表(KDQOL-SFTM)评估生存质量,焦虑自评量表(SAS)、抑郁自评量表(SDS)评估心理状态。结果干预前两组依从性评分比较,P>0.05,干预后3月两组依从性评分均高于干预前(P<0.05),观察组依从性评分高于对照组(P<0.05);干预前两组生存质量评分比较,P>0.05,干预后3月两组生存质量评分均高于干预前(P<0.05),观察组生存质量评分高于对照组(P<0.05);干预前两组心理状态评分比较,P>0.05,干预后3月两组心理状态评分均低于干预前(P<0.05),观察组心理状态评分低于对照组(P<0.05)。结论家属赋能联合信息化服务可显著提高尿毒症血液透析病人的依从性和生存质量,同时改善其心理状态。Objective To explore the effect of family empowerment combined with information services on improving compliance and quality of life of uremic hemodialysis patients.Methods A total of 162 uremia patients undergoing hemodialysis in our hospital from July 2022 to July 2023 were selected by convenient sampling method and divided into two groups according to random number table method:control group(n=81)and observation group(n=81).The control group received routine nursing,and the observation group received family empowerment combined information service.Compliance scale was used to assess compliance before intervention and 3 months after intervention,KDQOL-SFTM was used to assess quality of life,and self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)were used to assess psychological status.Results Before intervention,the score of compliance between the two groups was compared,P>0.05.3 months after intervention,the score of compliance between the two groups was higher than that before intervention(P<0.05),and the score of compliance in the observation group was higher than that in the control group(P<0.05).The QOL score of the two groups before intervention was compared,P>0.05.The QOL score of the two groups was higher than that before intervention 3 months after intervention(P<0.05),and the QOL score of the observation group was higher than that of the control group(P<0.05).Before intervention,the score of psychological state of the two groups was compared,P>0.05.3 months after intervention,the score of psychological state of the two groups was lower than that before intervention(P<0.05),and the score of psychological state of the observation group was lower than that of the control group(P<0.05).Conclusion Family empowerment combined with information services can significantly improve the compliance and quality of life of uremic hemodialysis patients,and improve their psychological state.

关 键 词：尿毒症 血液透析 家属赋能 依从性 生存质量 

分 类 号：R692.5[医药卫生—泌尿科学]