Effects of stratified case management on maintaining self-management ability and quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis
Objective:To explore the effect of stratified case management on maintaining self-management ability and quality of life in patients with chronic kidney disease undergoing maintenance hemodialysis.Methods:A total of 96 cases of patients with chronic kidney disease undergoing maintenance hemodialysis(MHD)were included from January 2021 to December 2021.The patients were divided into observation group(n=48)and control group(n=48)by random number table.The control group received routine nursing intervention.The observation group received stratified case management.The improvement of self-management ability and quality of life in two groups before intervention and after 3 months intervention were compared.The occurrence of adverse events of hemodialysis during the 3-month follow-up of two groups were recorded.Results:The MHD Self-Management Behavior Scale(SMSH)score and Brief Health Status Scale(SF-36)related dimension scores of the observation group were significantly higher than the control group after intervention(P＜0.05).The incidence of hemodialysis adverse events of the observation group were significantly lower than the control group during the follow-up period(P＜0.05).Conclusion:Stratified case management can effectively improve the self-management ability of patients with chronic kidney disease undergoing MHD,reduce the occurrence of hemodialysis adverse events,and improve the quality of life of patients.
Stratified case managementMaintenance hemodialysisSelf-management abilityAdverse eventsQuality of life
万方数据
维普
