中国护理管理2024,Vol.24Issue(1) :39-45.DOI:10.3969/j.issn.1672-1756.2024.01.009

维持性血液透析患者容量管理方案的构建及应用

Development and application of a volume management scheme for patients with maintenance hemodialysis

邹转芳 白李平 杨玉金 郑春艳 张小雪 李睿 王芸姣 周为民
中国护理管理2024,Vol.24Issue(1) :39-45.DOI:10.3969/j.issn.1672-1756.2024.01.009

维持性血液透析患者容量管理方案的构建及应用

Development and application of a volume management scheme for patients with maintenance hemodialysis

邹转芳 1白李平 1杨玉金 1郑春艳 2张小雪 1李睿 3王芸姣 3周为民2
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作者信息

  • 1. 南昌大学第二附属医院血液净化中心,330006 南昌市
  • 2. 南昌大学第二附属医院血管外科,330006 南昌市
  • 3. 南昌大学护理学院
  • 折叠

摘要

目的:构建维持性血液透析患者容量管理方案并评价其实施效果,为该人群实施容量管理干预提供参考依据.方法:通过文献回顾、专家函询、预实验等,在信息-知识-信念-行为理论指导下,构建维持性血液透析患者容量管理方案.便利选取2022年6月—12月在南昌市某三级甲等医院血液净化中心治疗的96例维持性血液透析患者为研究对象,以抛硬币法进行分组,将两组患者分别收治于不同院区.给予对照组常规护理,对干预组实施基于信息-知识-信念-行为理论模式的容量管理方案,比较两组干预效果.结果:干预3个月后,干预组患者的容量管理能力、自我效能、透析间期体质量增长率及透析常见急性并发症发生率均优于对照组,差异均具有统计学意义(P<0.05).结论:本研究构建的维持性血液透析患者容量管理方案具有科学性、可行性,对该患者的容量管理具有指导意义.

Abstract

Objective:To construct a volume management scheme for patients with maintenance hemodialysis and to evaluate its effect.Methods:A volume management scheme for patients with maintenance hemodialysis was established under the guidance of Information-Knowledge-Attitude-Practice(IKAP)theory through literature review,expert consultation and pilot study.Ninety-six patients with maintenance hemodialysis in the blood purification center of a tertiary grade A hospital in Nanchang city from June to December 2022 were conveniently recruited.The patients were divided into the experimental group or the control group by tossing a coin.Patients in the control group received routine care,and patients in the interventional group were given volume management programme.The interventional effects of the two groups were compared.Results:After 3 months,the volume management ability,self-efficacy,interdialytic daily weight gain and the incidence of common acute complications of dialysis of patients in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:The volume management scheme for maintenance hemodialysis patients established in this study is scientific and feasible,and has guiding significance for the volume management of this patient.

关键词

维持性血液透析/信息-知识-信念-行为理论/容量管理/护理

Key words

maintenance hemodialysis/Information-Knowledge-Attitude-Practice theory/capacity management/nursing

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基金项目

江西省应用研究培育计划(20212BAG70011)

出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
参考文献量32
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