延续性护理对心脏死亡器官捐献肾移植患者生存质量的影响
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摘要
目的探讨延续性护理对心脏死亡器官捐献(DCD)肾移植患者生存质量及并发症的影响。方法选取本院进行康复护理的DCD肾移植患者140例,按照入院时间分为对照组和观察组各70例,对照组患者出院后按常规指导自我护理;观察组患者出院后施行延续性护理。比较2组生存质量、睡眠质量、并发症发生率、再入院率及护理满意度。结果 2组出院前简明健康调查表(SF-36)各项评分比较均无统计学差异(P>0.05),且出院1年后各项评分均显著高于出院前(P<0.05);出院1年后观察组生理功能、心理健康、活力、社会功能、情感功能、总体健康评分高于对照组(P<0.05)。观察组出院1年后匹兹堡睡眠质量得分、并发症发生率、再入院率均低于对照组,护理满意度高于对照组(P<0.05)。结论对DCD肾移植患者实施延续性护理,可显著提高患者生活质量与睡眠质量,降低并发症发生率与再入院率,患者满意程度高。
Objective To discuss effect of continuous care on quality of life and complications in renal transplantation patients with donation after cardiac death( DCD). Methods A total of140 renal transplantation patients with DCD who were transferred to our hospital for rehabilitation nursing were divided into control group and observation group according to admission time. The control group was given routine self-care after discharge,and the observation group performed continuous nursing after discharge. The quality of life,sleep quality,incidence of complications,readmission rate and nursing satisfaction were compared between the two groups. Results There was no statistical difference in short form health questionnair( SF-36) scores between the two groups before discharge( P > 0. 05),and were significantly higher after 1-year discharge than discharge before( P <0. 05). The scores of physiological function,mental health,vitality,social function,emotional function and overall health of the observation group were higher than that in the control group( P <0. 05). After one year discharge,the observation group had lower scores of Pittsburgh sleep quality,the incidence of complications and the rate of readmission than the control group,and higher nursing satisfaction than the control group( P < 0. 05). Conclusion Continuous nursing for DCD renal transplantation patients can significantly improve quality of life and sleep quality of patients,reduce incidence of complications and readmission rate,and improve satisfaction.
Objective To discuss effect of continuous care on quality of life and complications in renal transplantation patients with donation after cardiac death( DCD). Methods A total of140 renal transplantation patients with DCD who were transferred to our hospital for rehabilitation nursing were divided into control group and observation group according to admission time. The control group was given routine self-care after discharge,and the observation group performed continuous nursing after discharge. The quality of life,sleep quality,incidence of complications,readmission rate and nursing satisfaction were compared between the two groups. Results There was no statistical difference in short form health questionnair( SF-36) scores between the two groups before discharge( P > 0. 05),and were significantly higher after 1-year discharge than discharge before( P <0. 05). The scores of physiological function,mental health,vitality,social function,emotional function and overall health of the observation group were higher than that in the control group( P <0. 05). After one year discharge,the observation group had lower scores of Pittsburgh sleep quality,the incidence of complications and the rate of readmission than the control group,and higher nursing satisfaction than the control group( P < 0. 05). Conclusion Continuous nursing for DCD renal transplantation patients can significantly improve quality of life and sleep quality of patients,reduce incidence of complications and readmission rate,and improve satisfaction.
引文
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[8]李琴,周结学,朱春丽,等.护理干预对肾移植受者出院后体质量管理的效果观察[J].护理管理杂志,2015,15(12):890-892.
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[10]李晓静.延续护理对肾移植出院患者生活质量和自我管理的影响[J].护理实践与研究,2017,14(14):61-63.
[11]林晓鸿,周芬,滕沙,等.肾移植术后患者居家睡眠质量的现况调查[J].中华护理杂志,2015,50(3):340-344.
[12]农玉荷,莫新少,聂峰,等.肾移植病人睡眠质量影响因素及护理干预研究[J].护理研究,2017,31(16):1938-1940.
[13]石小玉,郭亚萍,杨蕊.整体护理对肾移植术后患者恢复的影响[J].社区医学杂志,2015,13(1):76-78.
[14]陈卫国,周鹏,李晓伟,等.肾移植及移植后的血管并发症[J].中国组织工程研究,2015,19(15):2394-2398.
[15]叶小舟,卞晨阳,蒋继贫,等.肝移植和肾移植受者生存质量的调查分析[J].中华器官移植杂志,2017,38(4):25-27.
[2]刘佳,李建军.Life Port保存供肾对心脏死亡器官捐献肾移植术的研究现状[J].中南医学科学杂志,2016,44(2):228-231.
[3]昌盛,徐晶,蒋继贫,等.公民逝世后器官捐献肾移植242例临床分析[J].中华器官移植杂志,2015,36(6):325-329.
[4]陈萍.正念认知疗法对终末肾病肾移植患者的生活质量及睡眠状况的作用[J].中国医药导报,2017,14(23):148-151.
[5]Hoogland E R,Snoeijs M G,van Heurn L W.DCD kidney transplantation:results and measures to improve outcome[J].Current Opinion in Organ Transplantation,2010,15(2):177-182.
[6]潘翠青,林玉珠,刘丽娜,等.肾移植术后康复护理指导[J].海南医学,2015,26(1):154-156.
[7]李琴,周结学,周丽华,等.以家庭为中心的健康教育对肾移植病人服药依从性的影响[J].护理研究,2017,31(7):883-885.
[8]李琴,周结学,朱春丽,等.护理干预对肾移植受者出院后体质量管理的效果观察[J].护理管理杂志,2015,15(12):890-892.
[9]刘红霞,滕沙,张淑萍,等.肾移植受者服药依从性与健康相关生活质量的相关研究[J].护理学报,2015,30(3):33-37.
[10]李晓静.延续护理对肾移植出院患者生活质量和自我管理的影响[J].护理实践与研究,2017,14(14):61-63.
[11]林晓鸿,周芬,滕沙,等.肾移植术后患者居家睡眠质量的现况调查[J].中华护理杂志,2015,50(3):340-344.
[12]农玉荷,莫新少,聂峰,等.肾移植病人睡眠质量影响因素及护理干预研究[J].护理研究,2017,31(16):1938-1940.
[13]石小玉,郭亚萍,杨蕊.整体护理对肾移植术后患者恢复的影响[J].社区医学杂志,2015,13(1):76-78.
[14]陈卫国,周鹏,李晓伟,等.肾移植及移植后的血管并发症[J].中国组织工程研究,2015,19(15):2394-2398.
[15]叶小舟,卞晨阳,蒋继贫,等.肝移植和肾移植受者生存质量的调查分析[J].中华器官移植杂志,2017,38(4):25-27.