International Journal of Medicine and Data
International Journal of Medicine and Data. 2022; 6: (3) ; 10.12208/j.ijmd.20220123 .
总浏览量: 295
西安交通大学第一附属医院肾脏内科 陕西西安
*通讯作者: 毋欣桐,单位:西安交通大学第一附属医院肾脏内科 陕西西安;
目的 对腹膜透析患者应用多学科护理模式的临床效果进行研究。方法 选择本院在2020年11月至2021年11月期间收治的76例腹膜透析患者,依照双盲法,分成对照组和研究组,各38例。对照组行常规护理模式,研究组行多学科写作护理模式,对比两组患者自我效能、生活质量和护理满意度。结果 研究组患者行为依从性、透析行为、透析知识和透析态度均高于对照组(P<0.05);护理前,两组患者生活质量评分对比无明显差异(P>0.05),护理后,两组患者生活质量评分均高于护理前,组内对比差异明显(P<0.05),护理后,研究组生活质量评分高于对照组(P<0.05);研究组护理满意度为94.74%,高于对照组的的73.68%(P<0.05)。结论 多学科协作护理模式针对腹膜透析患者效果明显,可有效提高患者自我效能和生活质量,建立理想的护患关系,应在临床大范围推广。
Objective To study the clinical effect of multidisciplinary nursing model on peritoneal dialysis patients. Methods 76 patients with peritoneal dialysis treated in our hospital from November 2020 to November 2021 were divided into control group and study group according to double-blind method, with 38 cases in each group. The control group received routine nursing care and the study group received multidisciplinary writing nursing care. The self-efficacy, quality of life and nursing satisfaction of the two groups were compared. Results the behavior compliance, dialysis behavior, dialysis knowledge and dialysis attitude of patients in the study group were higher than those in the control group (P < 0.05); Before nursing, there was no significant difference in the quality of life score between the two groups (P > 0.05). After nursing, the quality of life score of the two groups was higher than that before nursing, and the comparison difference within the group was significant (P < 0.05). After nursing, the quality of life score of the study group was higher than that of the control group (P < 0.05); The nursing satisfaction of the study group was 94.74%, higher than 73.68% of the control group (P < 0.05). Conclusion the multidisciplinary collaborative nursing model is effective for peritoneal dialysis patients, which can effectively improve patients' self-efficacy and quality of life, establish an ideal nurse patient relationship, and should be widely promoted in clinical practice.
[1] 田素革,丁建平,郑艳平,顾玥,何丽君.以专科护士为主导的多学科网络管理在腹膜透析患者中的应用[J].中华现代护理杂志,2020,26(4):518-522.
[2] 刘晓琴,张春秀.多学科团队协作营养管理模式在腹膜透析患者中的应用[J].护理学杂志,2020,35(18):103-106.
[3] 梁小华,冯洁霞,许叶含,梁水霞,曾令玲.激励式延续性护理对慢性肾功能衰竭腹膜透析患者负性情绪与自我管理行为的影响[J].护理实践与研究,2019,16(18):53-55.
[4] 梁厚兴,李洁霞,韦素珍,陈万莉,韦丹婷.护理专案改善在降低腹膜透析患者腹膜炎发生率中的应用[J].齐鲁护理杂志,2019(5):128-130.
[5] 程卓琼,王琳,吴艳.慢性肾衰竭腹膜透析患者中应用优质护理干预的效果探讨[J].吉林医学,2020,41(6):1497-1498.
[6] 廖春丽,韦连素,韦永萍,覃兰宁,覃艳斯.互联网+闭环式健康管理模式在腹膜透析患者中的应用效果[J].广西医学,2019,41(1):133-137.
[7] 朱婧,宋玉红,包淑珍,张平.不同层级专科护士对腹膜透析患者实施护理管理干预的效果分析[J].中国卫生产业,2018,15(20):26-27.
[8] 司延萍,杨明莹,杨倩蓉,杨娇,李丹娜,王会笑,笪俊,姚呈.延续护理对CAPD患者并发症发生率及再入院率的影响[J].齐鲁护理杂志,2017,23(18):64-66.