首页|计划行为理论指导下的综合护理在尿毒症血液透析患者中的应用效果

计划行为理论指导下的综合护理在尿毒症血液透析患者中的应用效果

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目的 探讨计划行为理论指导下的综合护理在尿毒症血液透析患者中的应用效果.方法 选取2018年7月—2023年7月莘县人民医院收治的200例尿毒症血液透析患者为研究对象,按随机数字表法将其分为对照组和观察组,各100例.对照组采取常规护理,观察组采取计划行为理论指导下的综合护理.对比两组自我感受负担、应对方式、自我管理能力、并发症发生率及生活质量.结果 护理后,观察组自我感受负担量表中情感负担、身体负担、经济负担评分均低于对照组,组间差异有统计学意义(P<0.05).护理后,观察组积极应对评分高于对照组,消极应对评分低于对照组,组间差异有统计学意义(P<0.05).护理后,观察组自我管理能力测定量表中自我概念、健康认知、自我责任感、自我护理技能评分均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为 5.00%,低于对照组的 13.00%,差异有统计学意义(P<0.05).护理后,观察组世界卫生组织生存质量测定量表中生理、心理、社会、环境领域评分均高于对照组,组间差异有统计学意义(P<0.05).结论 计划行为理论指导下的综合护理可以减轻尿毒症血液透析患者自我感受负担,增强自我管理能力,减少并发症的发生和消极应对行为,提高生活质量.
Effect of Comprehensive Nursing under the Guidance of Planned Behavior Theory in Uremic Hemodialysis Patients
Objective To explore the application effect of comprehensive nursing under the guidance of planned behavior theory in uremic hemodialysis patients.Methods From July 2018 to July 2023,two hundred uremic hemodialysis patients from Shen County People's Hospital were selected and divided into a control group and an observation group using a random number table method,with 100 cases in each group.The control group received routine nursing,while the observation group received comprehensive nursing guided by planned behavior theory.The self perceived burden,coping styles,self-management abilities,incidence of complications,and quality of life between two groups were compared.Results After nursing,the emotional burden,physical burden,and economic burden scores in Self Perceived Burden Scale of the observation group were lower than those in the control group,there were statistically significant differences between the groups(P<0.05).After nursing,the positive coping score of the observation group was higher than that of the control group,while the negative coping score was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).After nursing,the self-concept,health cognition,sense of responsibility,and self-care skills scores in the Self-Management Ability Measurement Scale of the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 5.00%,which was lower than 13.00%in the control group,the difference was statistically significant(P<0.05).After nursing,the observation group had higher scores in the physiological,psychological,social,and environmental domains than the control group on the World Health Organization Quality of Life Scale,with statistically significant differences between the groups(P<0.05).Conclusion Comprehensive nursing under the guidance of planned behavior theory can reduce the self perceived burden of uremic hemodialysis patients,enhance self-management abilities,reduce the occurrence of complications and nagative coping behaviors,and improve quality of life.

UremiaHemodialysisGuidance on theory of planned behaviorComprehensive nursingSelf perceived burdenComplications

岳燕霞

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莘县人民医院肾病风湿科,山东聊城 252400

尿毒症 血液透析 计划行为理论指导 综合护理 自我感受负担 并发症

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(8)
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