首页|基于行为转变理论的护理模式在维持性血液透析患者饮食营养管理中的应用效果分析

基于行为转变理论的护理模式在维持性血液透析患者饮食营养管理中的应用效果分析

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目的 分析基于行为转变(TTM)理论的护理模式在维持性血液透析(MHD)患者饮食营养管理中的应用效果.方法 选取 2021 年 9 月—2022 年8 月于该院行MHD治疗的 82 例终末期肾病患者为研究对象,按照随机数字表法分为对照组与研究组,各41例.对照组采取常规护理措施,研究组在对照组基础上采取基于TTM理论的护理措施进行饮食营养管理.比较两组患者的肾脏病饮食依从行为量表(RABQ)、主观综合营养评估量表(SGA)、生活质量评价量表(SF-36)评分及护理满意度.结果 干预 12 周后,研究组RABQ、SF-36 评分均高于对照组,SGA评分低于对照组,组间差异有统计学意义(P﹤0.05).研究组护理服务总满意率为97.56%,高于对照组的78.05%,差异有统计学意义(P﹤0.05).结论 基于TTM理论的护理模式可以增强MHD患者的饮食依从性,改善其营养状况,保障生活质量,且提升了护理满意度,具有临床推广价值.
Application Effect Analysis of Nursing Model Based on Behavioral Transformation Theory in Dietary and Nutritional Management of Maintenance Hemodialysis Patients
Objective To analyze the application effect of a nursing model based on behavior transition(TTM)theory in dietary and nutritional management of maintenance hemodialysis(MHD)patients.Methods 82 patients with end-stage renal disease who received MHD treatment in the hospital from September 2021 to August 2022 were selected as the study objects,and were divided into a control group and a study group according to a random number table,with 41 cases each.The control group took routine nursing measures,and the research group took nursing measures based on TTM theory to manage diet nutrition.The scores of the Renal Adherence Behaviour Questionnaire(RABQ),Subjective Global Assessment Scale(SGA),Short Form-36(SF-36)and nursing satisfaction were compared between the two groups.Results After 12 weeks of intervention,RABQ and SF-36 scores of the study group were higher than those of the control group,and SGA scores were lower than those of the control group,with statistical significance(P﹤0.05).The total satisfaction rate of nursing service in the study group was 97.56%,higher than 78.05% in the control group,and the difference was statistically significant(P﹤0.05).Conclusion The nursing model based on TTM theory can enhance the dietary compliance of MHD patients,improve their nutritional status,ensure their quality of life,and enhance nursing satisfaction,which has clinical promotion value.

Maintenance hemodialysisTheory of behavioral changeNursingDietary nutrition

田美娇、张尊慧

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商河县人民医院血透室,山东济南 251600

维持性血液透析 行为转变理论 护理 饮食营养

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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