首页|阶段转变理论指导的照顾者赋能教育模式联合个体饮食计划对血液透析患者的影响

阶段转变理论指导的照顾者赋能教育模式联合个体饮食计划对血液透析患者的影响

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目的:探讨阶段转变理论指导的照顾者赋能教育模式联合个体饮食计划对血液透析患者的影响。方法:将 2021 年 3 月1 日~12 月31 日收治的39 例血液透析患者纳入对照组,给予常规干预;将2022 年1 月1 日~12 月31 日收治的41 例血液透析患者纳入观察组,实施阶段转变理论指导的照顾者赋能教育模式联合个体饮食计划;比较干预前及干预 2 个月后两组患者营养状况[血钙、血磷、血红蛋白(Hb)、血浆白蛋白(Alb)]以及疾病感知[采用疾病感知问卷(BIPQ)]、应对方式[采用医学应对问卷(MCMQ)]、自我管理行为[采用血液透析患者自我管理量表(HD-SMI)]、生活质量[采用肾脏病专用生活质量简表(KDQOL-36TM)]。结果:干预 2 个月后,两组患者血钙及血磷水平较干预前降低(P<0。05),且观察组低于对照组(P<0。05),Hb及Alb水平较干预前升高(P<0。05),且观察组高于对照组(P<0。05);干预 2 个月后,两组BIPQ评分及回避、屈服评分低于干预前(P<0。05),且观察组低于对照组(P<0。05);干预 2 个月后,两组面对评分、HD-SMI评分、KDQOL-36TM 评分高于干预前(P<0。05),且观察组高于对照组(P<0。05)。结论:阶段转变理论指导的照顾者赋能教育模式联合个体饮食计划能够改善血液透析患者营养状况,提高其疾病感知水平,促进患者采取积极应对方式,提高自我管理能力及生活质量。
Effect of Caregiver Empowerment Education Model Guided by Phase Change Theory Combined with Individual Diet plan on Hemodialysis Pa-tients
Objective:To explore the effect of caregiver empowerment education model guided by phase change theory combined with in-dividual diet plan on hemodialysis patients.Methods:A total of 39 hemodialysis patients admitted from March 1 to December 31,2021 were included in the control group and given routine intervention.A total of 41 hemodialysis patients admitted from January 1 to December 31,2022 were included in the observation group,and the caregiver empowerment education model guided by phase change theory combined with individual diet plan was implemented.The nutritional status(blood calcium,blood phosphorus,hemoglobin,plasma albumin),illness perception(BIPQ),coping style(MCMQ),self-management behavior(HD-SMI)and quality of life(KDQOL-36TM)were compared be-tween the two groups before intervention and 2 months after intervention.Results:After 2 months of intervention,the levels of blood calcium and blood phosphorus in the two groups were decreased compared those before intervention(P<0.05),and those in the observation group were lower than the control group(P<0.05);the levels of Hb and Alb were increased(P<0.05),and those in the observation group were higher than the control group(P<0.05).After 2 months of intervention,the BIPQ scores,avoidance and yield scores of the two groups were lower than those before intervention(P<0.05),and those of the observation group were lower than those of the control group(P<0.05).After 2 months of intervention,the FACE scores,HD-SMI scores and KDQOL-36TM scores of the two groups were higher than those before intervention(P<0.05),and those of the observation group were higher than those of the control group(P<0.05).Conclusion:The caregiver empowerment education model guided by the phase change theory combined with individual diet plan can improve the nutritional status of hemodialysis patients,improve their illness perception,promote patients to adopt positive coping styles,and can improve their self-manage-ment ability and quality of life as well.

HemodialysisPhase change theoryEmpowerment education modelIndividual diet planPerception of illnessSelf-man-agementQuality of life

丁璇、虞婧、韩倩

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九江学院附属医院 江西九江 332000

血液透析 阶段转变理论 赋能教育模式 个体饮食计划 疾病感知 自我管理 生活质量

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(19)