首页|5E康复护理对肾衰竭血液净化患者应对方式 自我管理能力和护理满意度的影响

5E康复护理对肾衰竭血液净化患者应对方式 自我管理能力和护理满意度的影响

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目的 探讨 5E康复护理对肾衰竭血液净化患者应对方式、自我管理能力和护理满意度的影响.方法 将 78 例肾衰竭血液净化患者随机分为观察组和对照组,每组 39 例.对照组患者实施一般护理,观察组患者在对照组基础上给予 5E康复护理.比较两组患者肾功能(血肌酐、血尿素氮、血钙、血磷水平)、自我管理能力[血液透析患者自我管理量表(HD-SMI)评分]、应对方式[医学应对方式问卷(MCMQ)中文版评分]、护理满意度[纽卡斯尔护理满意度量表(NSNS)评分].结果 护理后,两组患者血肌酐、血尿素氮、血钙水平及MCMQ回避、屈服维度评分较护理前降低,血磷水平及HD-SMI各维度评分、MCMQ面对维度评分较护理前升高,且观察组优于对照组(P<0.05 或 0.01).观察组患者护理总满意率高于对照组(P<0.05).结论 5E康复护理在肾衰竭血液净化患者中的应用效果确切,值得在临床推广.
Effect of 5E rehabilitation nursing on coping style,self-management ability and nursing satisfaction of renal failure patients undergoing blood purification
Objective To explore the effect of 5E(encouragement-education-exercise-employment-evaluation)rehabilitation nursing on coping style,self-management ability and nursing satisfaction of renal failure patients undergoing blood purification.Methods Seventy-eight renal failure patients undergoing blood purification were randomly divided into observation and control group,with 39 ones in each.Controls received routine nursing and observation group did 5E rehabilitation nursing on the basis of controls.Such indexes were compared between two groups as renal functions(blood creatinine,urea nitrogen,serum calcium and phosphorus level),self-management abilities(Hemodialysis Self-Management Instrument[HD-SMI]score),coping styles(Chinese version of Medical Coping Modes Questionnaire[MCMQ]score)and nursing satisfaction(Newcastle Satisfaction with Nursing Scales[NSNS]score).Results After nursing,blood creatinine,urea nitrogen and calcium levels as well as the avoidance and resignation scores of the MCMQ lowered,phosphorus levels,each dimension scores of the HD-SMI and confronce scores of the MCMQ elevated in both groups compared with pre-nursing,and observation was better than control group(P<0.05 or 0.01).The total satisfaction rate was higher in observation than control group(P<0.05).Conclusion The application of 5E rehabilitation nursing is effective in renal failure patients undergoing blood purification and worthy of clinical promotion.

5E rehabilitation nursingrenal failureblood purificationcoping styleself-management abilitynursing satisfaction

韩雪、李媛、韩金艳、董琳

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450000(河南·郑州)郑州大学第一附属医院

5E康复护理 肾衰竭 血液净化 应对方式 自我管理能力 护理满意度

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)