延续护理对青年维持性血液透析患者自我管理能力的干预效果研究
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摘要
目的探讨应用延续护理对青年维持性血液透析患者自我管理能力的影响。方法对40例15～44岁青年维持性血液透析患者进行6个月的延续护理干预。干预前及干预6个月后,采用维持性血液透析患者自我管理行为问卷评估患者的自我管理行为状况。结果干预后,青年维持性血液透析患者自我管理行为总分及各维度得分均高于干预前,差异具有统计学意义(P<0.01)。结论为青年维持性血液透析患者提供延续护理,有利于提高患者的自我管理能力。
Objective To investigate the effect of continuing care on self-management ability of young patients undergoing maintenance hemodialysis. Methods A total of 40 patients aged 15-44 years old were received continuing care during maintenance hemodialysis treatment. All patients were investigated by the Self-management Behavior Scale before and 6 months after the intervention. Results After 6-month intervention, patients achieved a higher total score and scores in each dimension of Self-management Behavior Scale, which were higher than those before the intervention(P<0.01). Conclusion The continuing care model is effective to improve the self-management ability of young patients during maintenance hemodialysis.
Objective To investigate the effect of continuing care on self-management ability of young patients undergoing maintenance hemodialysis. Methods A total of 40 patients aged 15-44 years old were received continuing care during maintenance hemodialysis treatment. All patients were investigated by the Self-management Behavior Scale before and 6 months after the intervention. Results After 6-month intervention, patients achieved a higher total score and scores in each dimension of Self-management Behavior Scale, which were higher than those before the intervention(P<0.01). Conclusion The continuing care model is effective to improve the self-management ability of young patients during maintenance hemodialysis.
引文
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[15] 欧阳艳,范美荣.延续护理对血液透析病人自我管理能力和生活质量的影响[J].全科护理,2018,16(16):2026-2028.
[16] STELLEFSON M,CHANEY B,BARRY A E,et al.Web 2.0 Chronic Disease Self-Management for Older Adults:A Systematic Review[J].J Med Internet Res,2013,15(2):35.
[17] FUNNELL M M.Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes:evidence,logistics,evaluation considerations and needs for future research[J].Fam Pract,2010,27 Suppl 1(suppl 1):i7-22.
[18] 张丽丽,董建群.慢性病患者自我管理研究进展[J].中国慢性病预防与控制,2010,18(2):207-211.
[19] 孔淑贞,蒋文慧.慢性病自我管理理论模式及其应用研究进展[J].护理研究,2013,27(16):1537-1539.
[2] 白亚玲,吴广礼,高志英,等.2013年度河北省城乡新增血液透析患者的流行病学调查分析[J].中国血液净化,2015,14(5):307-310.
[3] 张琳,张红梅,何丽君,等.团体动力学干预方案对青年血液透析患者自我管理的效果研究[J].中国护理管理,2017,17(7):976-980.
[4] 张琳,张红梅,刘晓辉,等.青年血液透析患者自我管理行为现状及影响因素分析[J].广东医学,2017,38(3):459-462.
[5] COLEMAN E A.Falling through the cracks:challenges and opportunities for improving transitional care for persons with continuous complex care needs[J].J Am Geriatr Soc,2010,51(4):549-555.
[6] YANG S C,CHIANG C K,HSU S P,et al.Relationship between interdialytic weight gain and nutritional markers in younger and older hemodialysis patients[J].J Ren Nutr,2008,18(2):210-222.
[7] LI T,LIU J,AN S,et al.Body mass index and mortality in patients on maintenance hemodialysis:a meta-analysis[J].Int Urol Nephrol,2014,46(3):623-631.
[8] 杜春玲.维持性血液透析患者动静脉内瘘失功的原因分析及护理[J].实用医学杂志,2010,26(10):1832-1834.
[9] 宋艺君.血液透析病患自我管理量表之建构与测试[D].高雄:高雄医学大学,2009 .
[10] 李慧,曹迎东,姜亚芳,等.血液透析患者自我管理量表的引进及信效度检测[J].中华护理杂志,2015,50(11):1392-1395.
[11] LAI A Y,ISHIKAWA H,KIUCHI T,et al.Communicative and critical health literacy,and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis[J].Patient Educ Couns,2013,91(2):221-227.
[12] SAMB B,DESAI N,NISHTAR S,et al.Prevention and management of chronic disease:a litmus test for health-systems strengthening in low-income and middle-income countries[J].Lancet,2010,376(9754):1785-1797.
[13] BAUER U E,BRISS P A,GOODMAN R A,et al.Prevention of chronic disease in the 21st century:elimination of the leading preventable causes of premature death and disability in the USA[J].Lancet,2014,384(9937):45-52.
[14] 王荣英,贺振银,赵稳稳,等.慢性病管理研究进展[J].中国全科医学,2016,19(17):1989-1993.
[15] 欧阳艳,范美荣.延续护理对血液透析病人自我管理能力和生活质量的影响[J].全科护理,2018,16(16):2026-2028.
[16] STELLEFSON M,CHANEY B,BARRY A E,et al.Web 2.0 Chronic Disease Self-Management for Older Adults:A Systematic Review[J].J Med Internet Res,2013,15(2):35.
[17] FUNNELL M M.Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes:evidence,logistics,evaluation considerations and needs for future research[J].Fam Pract,2010,27 Suppl 1(suppl 1):i7-22.
[18] 张丽丽,董建群.慢性病患者自我管理研究进展[J].中国慢性病预防与控制,2010,18(2):207-211.
[19] 孔淑贞,蒋文慧.慢性病自我管理理论模式及其应用研究进展[J].护理研究,2013,27(16):1537-1539.