首页|基于沟通达标理论的护理干预结合同伴教育对尿毒症维持性血液透析患者疾病进展恐惧感及日常生活自我管理能力的影响

基于沟通达标理论的护理干预结合同伴教育对尿毒症维持性血液透析患者疾病进展恐惧感及日常生活自我管理能力的影响

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目的 探讨基于沟通达标理论的护理干预结合同伴教育在尿毒症维持性血液透析患者中的应用效果。方法 选取 2019 年 5 月至 2022 年 5 月收治的 100 例尿毒症维持性血液透析患者为研究对象,随机将其分为对照组和观察组,各50例。对照组予以常规护理,观察组予以基于沟通达标理论的护理干预结合同伴教育。比较两组的干预效果。结果 干预后,观察组的疾病进展恐惧简化量表(FoP-Q-SF)各维度评分低于对照组,血液透析患者自我管理量表各维度评分高于对照组(P<0。05)。干预后,观察组的认知、透析依从性评分高于对照组(P<0。05)。观察组的并发症总发生率低于对照组(P<0。05)。结论 基于沟通达标理论的护理干预结合同伴教育可减轻尿毒症维持性血液透析患者的疾病进展恐惧感,提高其日常生活自我管理能力,改善其认知和透析依从性,降低并发症发生率。
Effects of nursing intervention based on communication standard theory combined with peer education on fear of disease progression and self-management ability of daily life in uremic maintenance hemodialysis patients
Objective To explore the application effect of nursing intervention based on communication standard theory combined with peer education in uremic maintenance hemodialysis patients.Methods A total of 100 patients with uremia maintenance hemodialysis admitted from May 2019 to May 2022 were selected as the research objects and randomly divided into control group and observation group,with 50 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on communication standard theory combined with peer education.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of the Fear of Progression Questionnaire-Short Form(FoP-Q-SF)in the observation group were lower than those in the control group,the scores of each dimension of self-management scale of hemodialysis patients were higher than those in the control group(P<0.05).After intervention,the scores of cognition and dialysis compliance in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Nursing intervention based on communication standard theory combined with peer education can reduce the fear of disease progression in uremic maintenance hemodialysis patients,enhance their self-management ability of daily life,improve their cognition and dialysis compliance,and reduce the incidence of complications.

communication standard theorypeer educationuremicmaintenance hemodialysisfear of disease progressionself-management ability

华琳、冯娅飞、石娟、黄朝琴、邓婷

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安康市中心医院,陕西 安康,725000

延安大学咸阳医院,陕西 咸阳,712000

沟通达标理论 同伴教育 尿毒症 维持性血液透析 疾病进展恐惧感 自我管理能力

延安大学咸阳医院院内科学研究基金(2021)

2021ZX021

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(16)