首页|家属参与式饮食干预联合赋能教育在慢性肾衰竭维持性血液透析患者中的应用

家属参与式饮食干预联合赋能教育在慢性肾衰竭维持性血液透析患者中的应用

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目的 探讨家属参与式饮食干预联合赋能教育在慢性肾衰竭维持性血液透析患者中的应用效果。方法 按随机数字表法将2022年1月至2023年5月于南昌市第三医院(朝阳院区)行维持性血液透析治疗的慢性肾衰竭患者62例分为对照组和观察组,每组31例。对照组患者实施常规护理干预,观察组患者实施家属参与式饮食干预联合赋能教育干预,2组患者均干预至出院。比较2组患者负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、自我管理能力[自我管理能力量表(PIH)评分]、生存质量[生存质量核心问卷量表(QLQ-C30)评分]和并发症发生率。结果 观察组患者干预后SDS、SAS、PIH评分和并发症发生率均低于对照组,而QLQ-C30评分高于对照组,差异均有统计学意义(P<0。05)。结论 家属参与式饮食干预联合赋能教育干预应用于慢性肾衰竭维持性血液透析患者中能够减轻患者负面情绪,提高其自我管理能力,降低并发症发生率,从而提高患者的生存质量。
Application of family participatory dietary intervention combined with empowerment education in maintenance hemodialysis patients with chronic renal failure
Objective To explore the application effect of family participatory dietary intervention combined with empowerment education in maintenance hemodialysis patients with chronic renal failure.Methods According to the random number table method,a total of 62 patients with chronic renal failure who underwent maintenance hemodialysis in the Third Hospital of Nanchang(Chaoyang District)from January 2022 to May 2023 were di-vided into control group and observation group,with 31 cases in each group.The patients in the control group were given routine nursing intervention,while the patients in the observation group were given family partici-patory dietary intervention combined with empowerment education intervention.Both groups were intervened until discharge.The negative emotions[Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)score],self-management ability[Self-management ability Scale(PIH)score],quality of life[Quality of Life Core Questionnaire Scale(QLQ-C30)score]and the incidence of complications were compared between the two groups.Results After intervention,the SDS,SAS,PIH scores and incidence of complications in the ob-servation group were lower than those in the control group,while the QLQ-C30 score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of family participatory dietary intervention combined with empowerment education intervention in maintenance hemodialysis patients with chronic renal failure can reduce the negative emotions of patients,improve their self-management ability,reduce the incidence of complications,and improve the quality of life of patients.

Chronic renal failureMaintenance hemodialysisFamily participatory dietary interven-tionEmpowerment educationSelf-management ability

李芳芳、涂丽娟

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南昌市第三医院(朝阳院区)血透室,江西南昌 330000

南昌市第三医院(抚河院区)肾内科,江西南昌 330000

慢性肾衰竭 维持性血液透析 家属参与式饮食干预 赋能教育 自我管理能力

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(23)