家庭参与远程护理在腹膜透析患者医院-家庭过渡期中的应用  

Family participation in the remote care during hospital-home transition period for patients undergoing peritoneal dialysis

作　　者：徐飒[1] 田瑞杰[1] 史娟娟[1] 王荟苹[1] XU Sa;TIAN Rui-jie;SHI Juan-juan;WANG Hui-ping(Department of Nephrology,The First Affiliated Hospital,Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学第一附属医院肾脏内科,郑州450001

出　　处：《中国血液净化》2025年第3期251-254,共4页Chinese Journal of Blood Purification

摘　　要：目的探讨4Y管理模式为基础的家庭参与远程护理方案在腹膜透析患者医院-家庭过渡期中的应用效果。方法选取郑州大学第一附属医院腹膜透析中心2023年9月─12月进行腹膜透析置管的患者为研究对象,试验组和对照组各39例。对照组采用常规健康指导和院外家庭随访,试验组采用计划到位(yes plan,Y)、责任到位(yes duty,Y)、检查到位(yes check,Y)、激励到位(yes drive,Y)的4Y管理的家庭参与远程护理方案。8周后采用腹膜透析自我管理量表、应对效能量表、家庭照顾能力量表比较其干预效果。结果干预8周后,试验组自我管理得分(t=3.174,P=0.002)、应对效能得分(t=5.551,P<0.001)、家庭照顾能力得分(t=-2.883,P=0.005)均高于对照组。结论4Y管理模式的家庭参与远程护理方案可提高医院-家庭过渡期腹膜透析患者自我管理能力、应对效能、家庭照顾能力。Objective To explore the effect of the 4Y management model-based family participation in remote care program during hospital-home transition period in peritoneal dialysis(PD)patients.Method A total of 80 patients with newly implanted PD tubes in the Peritoneal Dialysis Center of The First Affiliated Hospital of Zhengzhou University from September to December 2023 were recruited as the research subjects by convenient selection method.They were randomly divided into a test group(n=40)and a control group(n=40).The control group received routine health guidance and out-of-hospital home follow-up,while the test group received a 4Y-managed(yes plan,yes duty,yes check,and yes drive)home participation remote care program.After 8 weeks,effects of the two intervention programs were compared using the Peritoneal Dialysis Self-Management Scale,Coping Effectiveness Scale,and Family Care Capacity Scale.Results In test group after 8 weeks of intervention,the self-management score was higher than that of the control group(t=3.174,P=0.002),the coping efficacy score was higher than that of the control group(t=5.551,P<0.001),and the family care ability was stronger than that of the control group(t=-2.883,P=0.005).Conclusion The 4Y management model of family participation in remote care can improve the self-management ability,coping efficiency,and family care ability of the PD patients during hospital-home transition period.

关 键 词：腹膜透析 过渡期 家庭护理 

分 类 号：R473[医药卫生—护理学]