个体化健康管理在维持性血液透析护理中的应用
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摘要
目的探讨个体化健康管理在维持性血液透析(MHD)护理中的应用效果。方法选取100例MHD患者随机分为观察组和对照组。对照组采用常规护理模式,观察组采用个体化健康管理模式。分析比较两组患者干预前后的收缩压、舒张压、血肌酐、血钠浓度、自我管理能力的变化。结果干预后,两组患者的收缩压、舒张压、血肌酐和血钠浓度均降低,组间比较差异有统计学意义(P <0.05)。两组患者的自我管理能力均提高,组间比较差异有统计学意义。结论个体化健康管理能改善MHD患者的肾功能,提高其自我管理能力。
Objective To explore the application effect of individualized health management in MHD nursing. Methods 100 patients with MHD were randomly divided into observation group and control group. The control group used the routine care model and the observation group used the individualized health management model. The changes of SBP,DBP, serum creatinine, blood sodium concentration and self-management ability before and after intervention were compared between the two groups. Results After intervention, the concentrations of SBP, DBP, serum creatinine and serum sodium were significantly lower in the two groups. The difference between the two groups was statistically significant(P < 0.05).The self-management ability of both groups was significantly improved, and the difference between the groups was statistically significant. Conclusion Individualized health management can significantly improve the renal function of MHD patients and improve their self-management ability.
Objective To explore the application effect of individualized health management in MHD nursing. Methods 100 patients with MHD were randomly divided into observation group and control group. The control group used the routine care model and the observation group used the individualized health management model. The changes of SBP,DBP, serum creatinine, blood sodium concentration and self-management ability before and after intervention were compared between the two groups. Results After intervention, the concentrations of SBP, DBP, serum creatinine and serum sodium were significantly lower in the two groups. The difference between the two groups was statistically significant(P < 0.05).The self-management ability of both groups was significantly improved, and the difference between the groups was statistically significant. Conclusion Individualized health management can significantly improve the renal function of MHD patients and improve their self-management ability.
引文
[1]谷卉,杜晓刚.维持性血液透析尿毒症患者的预后及其危险因素研究进展[J].中国全科医学,2018,21(18):2252-2257.
[2]罗怡欣,黄燕林,刘玲玲,等.奥马哈系统个案管理模式在维持性血液透析患者中的应用[J].实用医学杂志,2017,33(19):3311-3313.
[3]林亚妹,朱美娟,洪曼,等.基于互联网+自我管理为导向的5A护理模式在维持性血液透析患者中的应用[J].广东医学,2018,39(8):1260-1263.
[4]骆美良,钱丽敏,李薇,等."三位一体"护理管理模式在维持性血液透析患者中的应用[J].中华现代护理杂志,2018,24(17):2040-2044.
[5]王颖,甘良英,马迎春,等.维持性血液透析患者对透析中康复运动接受程度的多中心现况调查[J].中国血液净化,2017,16(12):798-802.
[6]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.
[7]池小铿,郭颖,谭艺真,等.单中心7年维持性血液透析的回顾性分析[J].广东医学,2017,38(11):1731-1733.
[8]刘国莲,陈红,程雪涛,等.维持性血液透析患者症状发生程度及其影响因素[J].实用医学杂志,2017,33(10):1560-1563.
[9]张佩嘉,谭洁,王婧.老年维持性血液透析患者心理一致感现状及其影响因素分析[J].中国全科医学,2017,20(24):3026-3031.
[10]杨简,陈星华,丁国华.维持性血液透析高血压及其治疗进展[J].中国全科医学,2017,20(6):755-758.
[11]李阳,王平,王国祥,等.三种血液净化方式对维持性血液透析患者残余肾功能的影响[J].中国临床保健杂志,2017,20(1):55-58.
[12]王晶,刘宬博,周亦伦,等.个体化健康管理对维持性血液透析患者水钠控制依从性的影响[J].中华护理杂志,2016,51(10):1188-1192.
[2]罗怡欣,黄燕林,刘玲玲,等.奥马哈系统个案管理模式在维持性血液透析患者中的应用[J].实用医学杂志,2017,33(19):3311-3313.
[3]林亚妹,朱美娟,洪曼,等.基于互联网+自我管理为导向的5A护理模式在维持性血液透析患者中的应用[J].广东医学,2018,39(8):1260-1263.
[4]骆美良,钱丽敏,李薇,等."三位一体"护理管理模式在维持性血液透析患者中的应用[J].中华现代护理杂志,2018,24(17):2040-2044.
[5]王颖,甘良英,马迎春,等.维持性血液透析患者对透析中康复运动接受程度的多中心现况调查[J].中国血液净化,2017,16(12):798-802.
[6]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.
[7]池小铿,郭颖,谭艺真,等.单中心7年维持性血液透析的回顾性分析[J].广东医学,2017,38(11):1731-1733.
[8]刘国莲,陈红,程雪涛,等.维持性血液透析患者症状发生程度及其影响因素[J].实用医学杂志,2017,33(10):1560-1563.
[9]张佩嘉,谭洁,王婧.老年维持性血液透析患者心理一致感现状及其影响因素分析[J].中国全科医学,2017,20(24):3026-3031.
[10]杨简,陈星华,丁国华.维持性血液透析高血压及其治疗进展[J].中国全科医学,2017,20(6):755-758.
[11]李阳,王平,王国祥,等.三种血液净化方式对维持性血液透析患者残余肾功能的影响[J].中国临床保健杂志,2017,20(1):55-58.
[12]王晶,刘宬博,周亦伦,等.个体化健康管理对维持性血液透析患者水钠控制依从性的影响[J].中华护理杂志,2016,51(10):1188-1192.