Objective To explore the influence of the 5E rehabilitation program of multidisciplinary diagnosis and treat-ment team model on elderly maintenance hemodialysis patients,and to provide a clinical basis for the formulation of the 5E rehabilitation program.Methods A total of 82 elderly maintenance hemodialysis patients admitted to the Hemodialysis De-partment of Huaibei Miners General Hospital from January 2021 to December 2022 were selected as the study objects and were divided into a control group(40 cases)and an observation group(42 cases)by random number method.The control group received the routine nursing intervention of hemodialysis,and the observation group received a 5E rehabilitation pro-gram based on a multidisciplinary diagnosis and treatment team model on the basis of routine nursing.The differences in self-management ability,treatment compliance,and nutritional status between the two groups were compared before and af-ter the intervention,and the changes in dialysis effect indexes in the observation group were compared before and after the intervention.Results Inter-group comparison showed that 3 months and 6 months after intervention,the scores of 4 dimen-sions of self-management behavior and total scores in the observation group were higher than those in the control group(P＜0.05),the overall improvement of treatment compliance in the observation group was better than that in the control group(P＜0.05),and the values of hemoglobin,serum albumin,prealbumin and BMI in the observation group were higher than those in the control group(P＜0.05).Intra-group comparison showed that the serum potassium,blood phosphorus,serum creatinine and blood urea nitrogen[(21.25±4.13)mmol/L,(18.86±3.92)mmol/L vs.(23.43±4.35)mmol/L]of pa-tients at 3 and 6 months after intervention were decreased compared with those before intervention(P＜0.05).Conclusion The 5E rehabilitation program based on the multidisciplinary diagnosis and treatment team model can improve patients'self-management ability and treatment compliance in the clinical application of elderly maintenance hemodialysis patients,and has a certain role in improving nutritional status and improving dialysis effects.
关键词
多学科诊疗团队/5E康复方案/血液透析/老年人/干预
Key words
Multidisciplinary medical team/5E rehabilitation program/Hemodialysis/The aged/Intervention
维普
万方数据