首页|阶段性护理模式在慢性肾衰竭维持性血液透析患者中的应用效果及对其依从性的影响

阶段性护理模式在慢性肾衰竭维持性血液透析患者中的应用效果及对其依从性的影响

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目的 观察阶段性护理模式在慢性肾衰竭维持性血液透析患者中的应用效果及对其依从性的影响。方法 选择2019 年 10月至 2022 年 9 月于我院就诊的 100 例慢性肾衰竭维持性血液透析患者为研究对象,以随机数字表法将其分为对照组和试验组,各50例。对照组行慢性肾衰竭维持性血液透析常规护理,试验组在对照组基础上加用阶段性护理。比较两组的护理效果。结果 护理后,试验组的治疗依从性评分高于对照组(P<0。05)。护理后,试验组的健康知识水平、自我概念、自我责任感及自护技能评分高于对照组(P<0。05)。护理后,试验组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0。05)。试验组的并发症总发生率低于对照组(P<0。05)。结论 阶段性护理模式可提高维持性血液透析患者的治疗依从性、自我护理能力,降低自我感受负担及并发症发生率,值得应用推广。
Application effect of staged nursing mode in maintenance hemodialysis patients with chronic renal failure and its influence on compliance
Objective To observe the application effect of staged nursing mode in maintenance hemodialysis patients with chronic renal failure and its influence on compliance.Methods A total of 100 maintenance hemodialysis patients with chronic renal failure who were treated in our hospital from October 2019 to September 2022 were selected as the research objects.The patients were divided into control group and experimental group by random number table method,with 50 cases in each group.The control group was given routine nursing method of chronic renal failure maintenance hemodialysis,and the experimental group was given staged nursing on the basis of the control group.The nursing effects of the two groups were compared.Results After nursing,the treatment compliance score of the experimental group was higher than that of the control group(P<0.05).After nursing,the scores of health maintenance knowledge,self-concept,self-responsibility and self-care skills in the experimental group were higher than those in the control group(P<0.05).After nursing,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the experimental group were lower than those in the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Stage nursing mode can improve the treatment compliance and self-care ability of maintenance hemodialysis patients,reduce the self-perceived burden and the incidence of complications,which is worthy of application and popularization.

stage nursing modechronic renal failuremaintenance hemodialysis

罗莹、王旭英

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铜川市人民医院肾脏内科,陕西 铜川,727100

阶段性护理模式 慢性肾衰竭 维持性血液透析

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(29)