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基于跨理论模型的协同护理对腹膜透析患者的影响

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目的:探讨基于跨理论模型的协同护理对腹膜透析患者的影响。方法:纳入 2021 年 3 月—2023 年 3 月在南京医科大学附属无锡人民医院治疗的 120 例行腹膜透析的患者作为研究对象,采用摸球法分组,奇数为对照组,偶数为观察组,各 60 例。对照组予以常规护理,观察组予以基于跨理论模型的协同护理,比较两组自我护理能力[自我护理能力量表(ESCA)]、营养状况[血红蛋白(Hb)、白蛋白(ALB)和前白蛋白(PAB)]、负性情绪[贝克焦虑量表(BAI)、贝克抑郁量表(BDI)、心理韧性量表(CD-RISC)]、生活质量[肾脏病生活质量量表(KDQOL)]。结果:观察组干预后自我概念、自我责任感、自我护理技能、健康知识水平评分、Hb、ALB、PAB、CD-RISC评分及心理健康、躯体健康、肾脏负担、肾脏疾病的影响、症状与不适评分较对照组高,BAI评分、BDI评分较对照组低,差异有统计学意义(P<0。05)。结论:基于跨理论模型的协同护理能提高腹膜透析患者的自我护理能力,改善营养状态,减轻负性情绪,提升生活质量。
Impact of Collaborative Care Based on Cross-theoretical Model on Peritoneal Dialysis Patients
Objective:To explore the impact of collaborative care based on cross-theoretical model on peritoneal dialysis patients.Method:A total of 120 patients who underwent peritoneal dialysis in Wuxi People's Hospital Affiliated to Nanjing Medical University from March 2021 to March 2023 were included in the study,grouped by touching the ball,the odd number was the control group,and the even number was the observation group,with 60 cases in each group.The control group was given routine nursing,and the observation group was given collaborative care based on cross-theoretical model.The self-care ability[self-care ability scale(ESCA)],nutritional status[hemoglobin(Hb),albumin(ALB)and prealbumin(PAB)],negative emotions[Beck anxiety inventory(BAI),Beck depression inventory(BDI),Connor-Davidson resilience scale(CD-RISC)]and quality of life[kidney disease quality of life scale(KDQOL)]were compared between two groups.Result:The scores of self-concept,self-responsibility,self-care skills,health knowledge level,Hb,ALB,PAB,CD-RISC score,scores of mental health,physical health,kidney burden,influence of kidney disease,symptoms and discomfort in the observation group were higher than those in the control group,while the BAI score and BDI score were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Collaborative care based on cross-theoretical model can improve the self-care ability of peritoneal dialysis patients,improve nutritional status,reduce negative emotions,and improve the quality of life.

Collaborative care based on cross-theoretical modelPeritoneal dialysisNutritional statusSelf-care abilityNegative emotions

李丽芹、薛梦婷、徐婕、陆文佳、华玲红、高怡青、李晓

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南京医科大学无锡医学中心(无锡市人民医院

南京医科大学附属无锡人民医院)江苏 无锡 214000

基于跨理论模型的协同护理 腹膜透析 营养状况 自我护理能力 负性情绪

2022年度无锡市卫生健康委科研项目

Q202265

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(28)