Application of continuous care based on timing theory in patients with chronic renal failure undergoing hemodialysis
张慧霞 1姬素芳 1崔莉 1王欢欢 1张威
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作者信息
1. 晋城市人民医院肾内血液透析室肾内科，晋城 048000
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摘要
目的 探讨以时机理论为基准的延续性护理在慢性肾衰竭采取血液透析治疗患者中的临床效果。 方法 选取晋城市人民医院肾病血液透析室2020年5月至2022年9月收治的慢性肾衰竭行血液透析治疗患者280例作为研究对象，进行随机抽取，均分为对照组和干预组各140例。对照组实施常规延续性康复护理，干预组实施以时机理论为基准的延续性康复护理。于入院1 d、干预3个月后，对两组患者的健康知识认知度、中文版医学应对问卷(Medical Coping Modes Questionnaire，MCMQ)、营养指数等情况进行对比分析。 结果 入院1 d，两组健康知识认知度、MCMQ、营养指数等情况比较差异均无统计学意义(均P>0.05)；干预3个月，干预组在健康知识认知度各项得分高于对照组，差异均有统计学意义(均P<0.05)；同期相比，干预组医学应对各项指标优于对照组，差异均有统计学意义(均P<0.05)；干预组营养各项指数水平优于对照组，差异有统计学意义(P<0.05)。 结论 对该院接收的慢性肾衰竭采取血液透析治疗患者实施以时机理论为基准额延续性康复护理，有助于增强患者的疾病相关健康知识认知程度，提高其心理抗压能力，加强其自我护理管理能力。 Objective To explore the clinical effect of continuous nursing based on timing theory in patients with chronic renal failure treated with hemodialysis. Methods A total of 280 patients with chronic renal failure who received hemodialysis treatment in this hospital from May 2020 to September 2022 were selected as research objects. Patients were randomly selected and divided into control group and intervention group with 140 cases each. The control group implemented the conventional continuous rehabilitation nursing, and the intervention group implemented the continuous rehabilitation nursing based on the timing theory. One day after admission and 3 months after intervention, the health knowledge awareness, Chinese version of Medical Coping Modes Questionnaire (MCMQ) and nutrition index of the two groups of patients were compared and analyzed. Results One day after admission, there were no differences in health knowledge awareness, MCMQ and nutrition index between the two groups(P>0.05). After 3 months of intervention, the scores of health knowledge awareness in the intervention group were higher than those in the control group, and the differences were statistically significant(P<0.05). Compared with the same period, the medical coping indexes of the intervention group were better than those of the control group, and the differences were statistically significant (P<0.05). The levels of nutrition indexes in the intervention group were better than those in the control group, and the difference was statistically significant(P<0.05). Conclusions The implementation of continuous rehabilitation nursing based on timing theory for patients with chronic renal failure receiving hemodialysis treatment in this hospital is helpful to enhance the cognition degree of patients' disease-related health knowledge, improve the psychological ability to withstand pressure, and strengthen the ability of self-care management.
Abstract
Objective To explore the clinical effect of continuous nursing based on timing theory in patients with chronic renal failure treated with hemodialysis. Methods A total of 280 patients with chronic renal failure who received hemodialysis treatment in this hospital from May 2020 to September 2022 were selected as research objects. Patients were randomly selected and divided into control group and intervention group with 140 cases each. The control group implemented the conventional continuous rehabilitation nursing, and the intervention group implemented the continuous rehabilitation nursing based on the timing theory. One day after admission and 3 months after intervention, the health knowledge awareness, Chinese version of Medical Coping Modes Questionnaire (MCMQ) and nutrition index of the two groups of patients were compared and analyzed. Results One day after admission, there were no differences in health knowledge awareness, MCMQ and nutrition index between the two groups(P>0.05). After 3 months of intervention, the scores of health knowledge awareness in the intervention group were higher than those in the control group, and the differences were statistically significant(P<0.05). Compared with the same period, the medical coping indexes of the intervention group were better than those of the control group, and the differences were statistically significant (P<0.05). The levels of nutrition indexes in the intervention group were better than those in the control group, and the difference was statistically significant(P<0.05). Conclusions The implementation of continuous rehabilitation nursing based on timing theory for patients with chronic renal failure receiving hemodialysis treatment in this hospital is helpful to enhance the cognition degree of patients' disease-related health knowledge, improve the psychological ability to withstand pressure, and strengthen the ability of self-care management.
关键词
慢性肾衰竭/血液透析/时机理论/延续性护理/健康知识认知度/医学应对/营养指数
Key words
Chronic renal failure/Hemodialysis/Timing theory/Continuity of care/Health knowledge awareness/Medical response/Nutritional index
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