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    乔志, 刘蕊. 基于跨理论模型的延续护理对急性肾衰竭血液透析患者生理功能和主观幸福感的影响[J]. 徐州医科大学学报, 2021, 41(2): 153-156. DOI: 10.3969/j.issn.2096-3882.2021.02.016
    引用本文: 乔志, 刘蕊. 基于跨理论模型的延续护理对急性肾衰竭血液透析患者生理功能和主观幸福感的影响[J]. 徐州医科大学学报, 2021, 41(2): 153-156. DOI: 10.3969/j.issn.2096-3882.2021.02.016
    shu
    Effect of Continuous Nursing Based on Cross-theoretical Model on Physiological Function and Subjective Well-being of Hemodialysis Patients with Acute Renal Failure[J]. Journal of Xuzhou Medical University, 2021, 41(2): 153-156. DOI: 10.3969/j.issn.2096-3882.2021.02.016
    Citation: Effect of Continuous Nursing Based on Cross-theoretical Model on Physiological Function and Subjective Well-being of Hemodialysis Patients with Acute Renal Failure[J]. Journal of Xuzhou Medical University, 2021, 41(2): 153-156. DOI: 10.3969/j.issn.2096-3882.2021.02.016
    shu

    基于跨理论模型的延续护理对急性肾衰竭血液透析患者生理功能和主观幸福感的影响

    Effect of Continuous Nursing Based on Cross-theoretical Model on Physiological Function and Subjective Well-being of Hemodialysis Patients with Acute Renal Failure

      摘要
    • 摘要: 目的 探讨基于跨理论模型的延续护理干预对急性肾衰竭血液透析患者生理功能的影响及主观幸福感的提升作用.方法 将2016年12月—2018年1月于哈励逊国际和平医院进行血液透析治疗的急性肾衰竭患者102例纳入本研究,应用随机数字表法将其分成对照组与研究组,对照组仅给予基础性的护理干预,研究组给予以跨理论模型为基础的延续护理干预,观察分析2组患者营养状况、生活质量、肾功能及主观幸福感的变化.结果 干预后2组患者的营养状况有所好转,研究组主观整体营养评估(SGA)、营养不良-炎症评分(MIS)同对照组比较均更低,差异有统计学意义(P<0.05);干预后研究组患者生活质量各维度的得分均高于对照组(P<0.05);干预前2组患者肾功能相关指标无明显差异,干预后研究组患者血肌酐(Cr)、尿素氮(BUN)明显低于对照组(P<0.05);干预后研究组患者自我效能、幸福感受、一般情况、自信心评分均高于对照组,差异均有统计学意义(P<0.05).结论 基于跨理论模型的延续护理方案可改善急性肾衰竭血液透析患者的生理功能、主观幸福感以及生活质量,是一种有效的护理手段,值得推广应用.

       

      Abstract: Objective To explore the effect of continuous nursing intervention on physiological function and subjective well-being of patients with acute renal failure treated by hemodialysis using cross-theoretical model. Methods 102 patients with acute renal failure who were treated by hemodialysis in our hospital from December 2016 to January 2018 were included in this study. All patients were diagnosed with acute renal failure and were treated by hemodialysis. They were divided into control group and research group by using digital table method. During the treatment, the control group was only given basic nursing intervention. The research group was based on a cross-theoretical model. Continuous nursing measures were formulated to observe and analyze the changes of nutritional status, quality of life, physiological function and subjective well-being of the two groups. Results After treatment and intervention, the nutritional status of the two groups improved, and the SGA and MIS scores of the study group were lower than those of the control group, the difference was statistically significant (p < 0.05). The survey results of the study group confirmed that the average score of the eight dimensions of the study group was higher than that of the control group, and there was no significant difference in the related indicators of renal function between the two groups before treatment, and the serum creatinine of the study group after treatment and intervention. (Cr) and urea nitrogen (BUN) were significantly lower than those of the control group. The results of questionnaire analysis showed that the average scores of self-efficacy, well-being, general situation and self-confidence of the study group were higher than those of the control group, and there was statistical significance between the data groups (p < 0.05). Conclusion Continuous nursing scheme based on cross-theoretical model has high application value in hemodialysis patients with acute renal failure. It can significantly improve the physiological function, subjective well-being and quality of life of patients. It is an effective nursing method and worth popularizing and applying.

       

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