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以量化评估为基础的分层护理模式对尿毒症患者的影响

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目的 探讨以量化评估为基础的分层护理模式对尿毒症患者病耻感、不良情绪的影响。方法 选取 2020 年 7月至 2022 年 12 月期间在洛阳市东方人民医院收治的 90 例尿毒症患者,按随机对照原则分两组,各 45 例。对照组采用常规护理模式进行干预,研究组在此基础上采用以量化评估为基础的分层护理模式进行干预,比较两组干预前后不良情绪、病耻感、营养状况、生活质量,并记录两组并发症、评估患者满意度。结果 干预后,研究组焦虑评估量表(SAS)、抑郁评估量表(SDS)及社会影响量表(SIS)评分低于对照组,而白蛋白(Alb)、血红蛋白(Hb)、前白蛋白(PA)水平及生活质量综合评定问卷(GQOLI-74)评分高于对照组,差异有统计学意义(P<0。05)。研究组并发症发生率(6。67%)低于对照组(22。22%),差异有统计学意义(P<0。05)。研究组患者满意率(97。78%)高于对照组(80。00%),差异有统计学意义(P<0。05)。结论 对尿毒症患者采用以量化评估为基础的分层护理模式进行干预可显著减轻其不良情绪及病耻感,改善机体营养状况,减少并发症,提升生活质量及患者满意度。
Impact of Stratified Nursing Model Based on Quantitative Evaluation on Patients with Uremia
Objective To explore the impact of the stratified nursing model based on quantitative evaluation on the disease shame and negative emotions of patients with uremia.Methods A total of 90 patients with uremia treated in Luoyang Oriental People's Hospital from July 2020 to December 2022 were selected.They were divided into two groups according to the principle of random control,with 45 cases in each group.The control group was intervened with the conventional nursing model,and the research group was intervened with the stratified nursing model based on quantitative evaluation on this basis.The negative emotions,disease shame,nutritional status,and quality of life of the two groups before and after intervention were compared,and the complications and patient satisfaction of the two groups were recorded.Results After intervention,the scores of the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Social Impact Scale(SIS)in the research group were lower than those in the control group,while the levels of albumin(Alb),hemoglobin(Hb),prealbumin(PA),and the score of the General Quality of Life Inventory(GQOLI-74)were higher than those in the control group,with statistically significant differences(P<0.05).The incidence of complications in the research group(6.67%)was lower than that in the control group(22.22%),with a statistically significant difference(P<0.05).The satisfaction rate of patients in the research group(97.78%)was higher than that in the control group(80.00%),with a statistically significant difference(P<0.05).Conclusion The intervention of patients with uremia using the stratified nursing model based on quantitative evaluation can significantly reduce their negative emotions and disease shame,improve the body's nutritional status,reduce complications,improve the quality of life and patient satisfaction.

uremiaquantitative evaluationstratified nursing modeldisease shamenegative emotions

周雷雷、袁晓利

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洛阳市东方人民医院 血液净化科,河南 洛阳 471003

洛阳市东方人民医院 消毒供应中心,河南 洛阳 471003

尿毒症 量化评估 分层护理模式 病耻感 不良情绪

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)