控制论引导护理模式对急重症血液透析患者预后的影响

The Effect of Cybernetics-guided Nursing Model on the Prognosis of Patients with Acute and Severe Hemodialysis

目的探讨控制论引导护理模式对急重症血透患者预后的影响。方法选取2020年1月-2021年12月我院收治的66例急重症血液透析患者,按照随机数表法将其分为观察组和对照组,每组各33例。对照组给予常规护理干预,观察组在上述基础上加用控制论引导护理模式。比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能感量表评分(SUPPH)、并发症发生率。结果与同组护理前及对照组护理后比较,观察组SAS、SDS评分显著降低(P<0.05)。与同组护理前及对照组护理后比较,观察组正性态度、自我决策、自我减压评分显著增高(P<0.05)。与对照组比较,观察组并发症总发生率显著降低(P<0.05)。结论控制论引导护理模式可显著改善急重症血液透析患者预后,临床价值较高。

Objective:To explore the effect of cybernetics-guided nursing model on the prognosis of patients with acute and severe hemodialysis.Methods:A total of 66 patients with acute and severe hemodialysis admitted to our hospital from January 2020 to December 2021 were divided into the observation group and control the group according to the random number table method,with 33 cases in each group.The patients in control group was given routine nursing intervention,while the patients in observation group added cybernetics guided nursing model.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-efficacy scale score(SUPPH)and the incidence of complications were compared between the two groups.Results:Compared with before and after nursing in the control group,SAS and SDS scores in the observation group decreased significantly(P<0.05).Compared with before nursing and after nursing in the control group,the scores of positive attitude,self-decision and self-decompression in the observation group were significantly higher(P<0.05).Compared with the control group,the total incidence of complications in the observation group decreased significantly(P<0.05).Conclusion:Cybernetics-guided nursing model can significantly improve the prognosis of patients with acute and severe hemodialysis,which has high clinical value.