首页|多学科协作干预对维持性血液透析患者血磷、健康知识和遵医行为的影响

多学科协作干预对维持性血液透析患者血磷、健康知识和遵医行为的影响

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目的 探讨多学科协作干预对维持性血液透析患者血磷、健康知识和遵医行为的影响。方法 选择本院血液透析室2020年12月—2021年11月收治的高磷血症维持性血液透析患者共66例为对象。采用随机数字表法将患者分为观察组和对照组,每组33例。其中,对照组予以常规综合干预,观察组在此基础上予以多学科协作干预。比较两组干预前和干预3月后血磷水平、血磷控制达标率和健康知识、遵医行为评分。结果 两组干预后血磷水平、蛋白质、钾、磷摄入量以及健康知识掌握评分和医嘱执行评分均较干预前显著改善,组间差异有统计学意义(P<0。05)。观察组干预后血磷水平、蛋白质、钾、磷摄入量低于对照组,血磷达标率以及健康知识掌握评分和医嘱执行评分高于对照组,差异有统计学意义(P<0。05)。结论 在常规干预基础上,为高磷血症血液透析患者提供多学科综合干预,能够进一步控制血磷水平,提高血磷达标率。同时,能优化患者饮食结构,促进患者相关专业知识掌握,并提高医嘱执行力。
Effect of Multidisciplinary Collaborative Intervention on Blood Phosphorus,Health Knowledge and Compliance Behavior of Patients with Maintenance Hemodialysis
Objective To explore effect of multidisciplinary collaborative intervention on blood phosphorus,health knowledge,and compliance behavior of maintenance hemodialysis patients.Methods The paper chose 66 maintenance hemodialysis patients with hyperphosphatemia in hemodialysis room of our hospital from December 2020 to November 2021 as the subjects,and divided them into observation group and control group with random number table method,with 33 cases in each group.Control group was treated with routine comprehensive intervention,and observation group with integrated medical and nursing interventions on the basis.Blood phosphorus levels,blood phosphorus control compliance rate,health knowledge,and compliance behavior scores were compared between two groups before and 3 months after intervention.Results Blood phosphorus levels,protein,potassium,phosphorus intake,health knowledge mastery scores,and medical order execution scores after the intervention were significant better in both groups(P<0.05).After intervention,blood phosphorus level,protein,potassium,and phosphorus intake in observation group was lower than control group.Blood phosphorus compliance rate,health knowledge mastery scores,and medical order execution scores in observation group were higher than in control group,and difference was statistically significant(P<0.05).Conclusion Multidisciplinary comprehensive intervention can further control blood phosphorus levels and improve blood phosphorus compliance rate of hyperphosphatemia hemodialysis patients on the basis of routine intervention,optimize dietary structure,promote mastery of relevant professional knowledge,and improve ability to execute medical orders of patients.

HemodialysisHyperphosphatemiaMultidisciplinary collaborative interventionBlood phosphorusHealth knowledgeCompliance behavior

彭湘鹤

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湘潭县人民医院 肾内科,湖南 湘潭 411228

血液透析 高磷血症 多学科协作干预 血磷 健康知识 遵医行为

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(17)