河北医药2024,Vol.46Issue(18) :2751-2754,2758.DOI:10.3969/j.issn.1002-7386.2024.18.006

控制论导向的多维度阶段式干预对IgA肾病血液透析患者并发症的影响

Impact of cybernetics-guided multi-dimensional staged nursing intervention on complications related to hemodialysis in patients with IgA nephropathy

李磊 王丽妍 刘珂 计丹英 王立奇
河北医药2024,Vol.46Issue(18) :2751-2754,2758.DOI:10.3969/j.issn.1002-7386.2024.18.006

控制论导向的多维度阶段式干预对IgA肾病血液透析患者并发症的影响

Impact of cybernetics-guided multi-dimensional staged nursing intervention on complications related to hemodialysis in patients with IgA nephropathy

李磊 1王丽妍 1刘珂 1计丹英 1王立奇1
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作者信息

  • 1. 100050 北京市,首都医科大学附属北京友谊医院肾内科血液净化中心
  • 折叠

摘要

目的 探讨控制论导向的多维度阶段式干预对接受血液透析治疗的IgA肾病患者并发症的影响.方法 选取2020年2月至2023年1月首都医科大学附属北京友谊医院收治的接受血液透析治疗的86例IgA肾病患者为研究对象,依据住院号尾号进行分组,尾号为奇数者分配至对照组,偶数者分配至干预组,每组43例.对照组患者实施常规干预,干预组患者实施控制论导向的多维度阶段式干预,2组均干预1个月.对比2组干预前后心理状态、生命质量、并发症发生情况,同时比较2组患者护理满意度.结果 干预后,2组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均降低,且干预组低于对照组(P<0.05).干预后,2组生命质量量表(SF-36)各维度评分均升高,且干预组高于对照组(P<0.05).2组干预期间并发症发生率比较,干预组低于对照组(P<0.05).2组对护理满意度比较,干预组高于对照组(P<0.05).结论 应用控制论导向的多维度阶段式干预可有效降低IgA肾病血液透析患者并发症发生率,改善患者心理状态,提高生命质量及对护理满意度.

Abstract

Objective To explore the impact of cybernetics-guided multi-dimensional staged nursing intervention on complications related to hemodialysis in patients with immunoglobulin A(IgA)nephropathy(IgAN).Methods Eighty-six IgAN patients who underwent hemodialysis at Beijing Friendship Hospital,Capital Medical University from February 2020 to January 2023 were enrolled.The patients were randomly assigned to the control group(odd tail number,n=43)or the intervention group(even tail number,n=43)based on the the hospitalization number,in which they were given routine intervention and cybernetics-guided multi-dimensional staged nursing intervention,respectively.A 1-month intervention was performed to compare psychological state,quality of life,rate of complications,nursing satisfaction.Results After the intervention,significantly decreased Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores,and increased 36-item Short Form Health Survey(SF-36)scores were found in the both groups,which were significantly pronounced in the intervention group than in the control group(P<0.05).The rate of complications in the intervention group was significantly lower than that in the control group(P<0.05),and the nursing satisfaction was significantly higher than that in the control group(P<0.05).Conclusion For IgAN patients underwent hemodialysis,cybernetics-guided multi-dimensional staged nursing intervention can effectively reduce complications related to hemodialysis,improve psychological state,and enhance the quality of life and nursing satisfaction.

关键词

IgA肾病/血液透析/控制论/多维度阶段式干预/并发症

Key words

IgA nephropathy/hemodialysis/cybernetics/multi-dimensional staged nursing intervention/complications

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基金项目

国家自然科学基金资助项目(82003833)

出版年

2024
河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
参考文献量16
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