分阶段转变护理对糖尿病肾病透析患者液体摄入依从性的影响
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摘要
目的研究分阶段转变护理对糖尿病肾病透析患者液体摄入依从性的影响。方法将行维持性血液透析的50例糖尿病肾病患者随机分为对照组和观察组,每组25例,对照组患者给予常规血液透析护理,观察组在此基础上加用分阶段转变护理,比较两组患者护理前后汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分及液体摄入依从性和并发症发生率。结果干预后,观察组患者HAMD及HAMA评分均低于干预前并低于对照组(P <0. 05);观察组患者的液体摄入依从率高于对照组,并发症总发生率低于对照组(P <0. 05)。结论分阶段转变护理可提高糖尿病肾病行维持性血液透析患者的液体摄入依从性,改善患者抑郁、焦虑等负面情绪,降低并发症发生率。
引文
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[14]赵彩萍,杨春芳,马小琴,等.糖尿病腹膜透析患者容量控制与液体摄入健康信念的相关性研究[J].中国实用护理杂志,2016,32(10):747-750.
[15] Lim E,Hyun S,Lee JM,et al. Effects of education on low-phosphate diet and phosphate binder intake to control serum phosphate among maintenance hemodialysis patients:a randomized controlled trial[J]. Kidney Res Clin Pract,2018,37(1):69-76.
[16]肖勇,李平,王文红.协同护理模式对维持性血液透析患者依从性的影响[J].中国实用护理杂志,2013,29(2):17-18.
[2]冯艳平.护患合作质量控制对提高维持性血液透析患者液体摄入依从性的研究[J].护理实践与研究,2015,12(1):1-4.
[3]童赞,胡国玉,林泽文,等.行为分阶段转变理论在提高血液透析患者液体摄入依从性的应用[J].护理学报,2016,23(14):41-44.
[4]吴茵,钮美娥,张永红.授权教育对提高血液透析患者液体摄入依从性的效果[J].解放军护理杂志,2015,32(22):1-5.
[5]彭军香.液体摄入控制卡在血液透析患者护理教育中的设计与应用[J].中国医药指南,2013,25(9):795-796.
[6]邱翛然,何彩云.维持性血液透析患者液体摄入依从性及其影响因素[J].护理学报,2015,22(6):6-10.
[7] Hamilton M. Symptoms and assessment of depression[M]//.Paykle ES. Handbook of affective disorders. New York:Churchill Livingstone, 1982:3-11.
[8]梁秀.维持性血液透析患者液体摄入依从性及影响因素的研究进展[J].中华现代护理杂志,2013,48(34):4 211-4 213.
[9] Lotan Y,Buendia Jimenez I,Lenoir-Wijnkoop I,et al. Increased water intake as a prevention strategy for recurrence of urolithiasis:major impact of compliance on cost-effectiveness[J]. J Urol,2013,189(3):935-939.
[10]乔娟,单岩,徐兆萍,等.自我效能训练对血液透析患者液体摄人的影响[J].中国实用护理杂志,2013,29(32):16-19.
[11] Parnell LD,Blokker BA,Dashti HS,et al. CardioGxE,a catalog of gene-environment interactions for cardiometabolic traits[J]. Bio Data Min,2014,7:21.
[12]乔娟,单岩,徐兆萍,等.维持性血液透析患者体重增加曲线图的设计与应用[J].中华护理杂志,2013,48(10):882-884.
[13] Alves KB,Guilarducci NV,Santos TDR,et al. Is quality of life associated with compliance to pharmacoterapy in patients with chronic kidney disease undergoing maintenance hemodialysis?[J].Einstein(Sao Paulo),2018,16(1):eAO4036.
[14]赵彩萍,杨春芳,马小琴,等.糖尿病腹膜透析患者容量控制与液体摄入健康信念的相关性研究[J].中国实用护理杂志,2016,32(10):747-750.
[15] Lim E,Hyun S,Lee JM,et al. Effects of education on low-phosphate diet and phosphate binder intake to control serum phosphate among maintenance hemodialysis patients:a randomized controlled trial[J]. Kidney Res Clin Pract,2018,37(1):69-76.
[16]肖勇,李平,王文红.协同护理模式对维持性血液透析患者依从性的影响[J].中国实用护理杂志,2013,29(2):17-18.