基于King互动达标理论的护理模式对血液透析病人生活质量和依从性的影响
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摘要
目的:探究基于King互动达标理论的护理模式对血液透析病人生活质量和依从性的影响。方法:选取84例血液透析病人,随机分为观察组和对照组,各42例。其中对照组实施传统的护理照顾,而观察组则在对照组基础上引入基于King互动达标理论的护理干预。2组病人在干预前及干预后第4周均接受生活质量量表(SF-36)测评,比较2组病人的治疗依从性和护理满意度。结果:2组病人在干预前的生活质量评分差异无统计学意义(P>0.05);干预后,观察组病人的生理功能、生理职能、躯体疼痛、总体健康期望、精力、社会功能、情感职能以及心理健康评分均明显高于对照组(P<0.01),且干预后2组生理功能、生理职能、躯体疼痛、总体健康期望、精力、社会功能、情感职能以及心理健康评分均高于干预前(P<0.05～P<0.01)。2组病人干预前治疗依从性良好率差异无统计学意义(P>0.05);干预后,观察组病人治疗依从性良好率明显高于对照组(P<0.01)。观察组病人护理满意度为97.6%,明显高于对照组的80.9%(P<0.01)。结论:对于血液透析病人,引入基于King互动达标理论的护理模式,有助于提高病人的生活质量和治疗依从性,值得临床进一步推荐应用。
Objective: To explore the effects of nursing mode based on King interaction standard theory on the quality of life and compliance of hemodialysis patients. Methods: Eighty-four hemodialysis patients were randomly divided into the study group and the control group according to the random number table( 42 cases each group). The control group was nursed using traditional nursing method,and the study group was additionally nursed using the King interaction standard theory based on the control group. Two groups were assessed using the quality of life scale( SF-36) before and after 4 weeks of intervention,and the treatment compliance and nursing satisfaction between two groups were compared. Results: There was not statistical significance in the quality of life score between two groups before the intervention( P > 0. 05). After the intervention,the scores of physical function,role physical,body pain,general health,vitality,social expectation function,role emotional and mental health in study group were higher than those in control group( P <0. 05 to P < 0. 01). Before intervention,the difference of the good rate of treatment compliance between two groups was not statistically significant( P > 0. 05),and which in study group was higher than that in control group after intervention( P < 0. 01). The nursing satisfaction rates in study group and control group were 97. 6% and 80. 9%,respectively,and the difference of which between two groups was statistically significant( P < 0. 01). Conclusions: The application of nursing mode based on King interaction standard theory in hemodialysis patients can help to improve the quality of life and treatment compliance of patients,which is worthy of promotion in clinic.
Objective: To explore the effects of nursing mode based on King interaction standard theory on the quality of life and compliance of hemodialysis patients. Methods: Eighty-four hemodialysis patients were randomly divided into the study group and the control group according to the random number table( 42 cases each group). The control group was nursed using traditional nursing method,and the study group was additionally nursed using the King interaction standard theory based on the control group. Two groups were assessed using the quality of life scale( SF-36) before and after 4 weeks of intervention,and the treatment compliance and nursing satisfaction between two groups were compared. Results: There was not statistical significance in the quality of life score between two groups before the intervention( P > 0. 05). After the intervention,the scores of physical function,role physical,body pain,general health,vitality,social expectation function,role emotional and mental health in study group were higher than those in control group( P <0. 05 to P < 0. 01). Before intervention,the difference of the good rate of treatment compliance between two groups was not statistically significant( P > 0. 05),and which in study group was higher than that in control group after intervention( P < 0. 01). The nursing satisfaction rates in study group and control group were 97. 6% and 80. 9%,respectively,and the difference of which between two groups was statistically significant( P < 0. 01). Conclusions: The application of nursing mode based on King interaction standard theory in hemodialysis patients can help to improve the quality of life and treatment compliance of patients,which is worthy of promotion in clinic.
引文
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[14]官计,龙霖,寇琳,等.基于问题学习的教学模式在血液透析临床带教中的应用[J].中华护理教育,2014,11(9):690.
[15]张志红.血液透析病人负面情绪与健康状况的相关性分析[J].中华现代护理杂志,2014,49(15):1757.
[2]陈雪玲.护理干预对尿毒症血液透析病人心理的影响[J].护士进修杂志,2012,27(9):837.
[3]吴文莉.营养护理对终末期肾病血液透析病人生活质量的影响[J].中国实用护理杂志,2012,28(30):14.
[4]邹毓媚,吴益芬,李俊儿,等.集束化护理在预防血液透析导管相关血流感染的效果分析及护理[J].护士进修杂志,2013,28(7):665.
[5]余美花,周文英,马金强,等.集束化护理在预防血液透析导管相关性血流感染的效果分析[J].中华医院感染学杂志,2014,24(11):2704.
[6]莫国华,韦丽玲,李家莲,等.老年尿毒症病人行血液透析诱导期护理的效果评价[J].中国实用护理杂志,2012,28(10):42.
[7]郭青,贺碧英,赵荻,等.推拿疗法对维持性血液透析病人疲乏状况的影响[J].护理研究,2016,30(9):1129.
[8]刘卓华,宁志芳,蔡赛兰,等.护理干预对提高老年病人维持性血液透析治疗依从性的影响[J].中国实用护理杂志,2012,28(19):15.
[9]张新霞,安静美.舒适护理模式在血液透析病人护理中的应用效果研究[J].中国实用护理杂志,2015,31(z2):2.
[10]王梅,刘琼.延续护理对肾衰竭血液透析病人生活质量和疗效的影响分析[J].中国急救医学,2015,35(z2):110.
[11]倪耀华,黄惠君.集束化护理理念在血液透析病人血管通路风险管理中的应用[J].护士进修杂志,2014,29(3):286.
[12]李仪静.舒适护理在血液透析护理中的应用价值[J].南昌大学学报(医学版),2014,54(1):52.
[13]邓彩春.中医辨证护理对血液透析病人心理状态及生活质量的影响[J].实用临床医药杂志,2015,19(6):20.
[14]官计,龙霖,寇琳,等.基于问题学习的教学模式在血液透析临床带教中的应用[J].中华护理教育,2014,11(9):690.
[15]张志红.血液透析病人负面情绪与健康状况的相关性分析[J].中华现代护理杂志,2014,49(15):1757.