延续护理在肾移植受者自我管理能力中的应用效果

Application effect of continuous nursing in self-management ability of kidney transplant recipients

目的探讨延续护理在肾移植受者自我管理能力中的应用效果。方法选择2015年1月~2017年12月在我院行肾移植的患者60例为研究对象,随机分为观察组与对照组,各30例。对照组给予常规护理与术后随访,观察组在常规护理基础上实施延续护理。比较两组干预前后自我效能、自我管理能力、生活质量评分。结果干预后,观察组自我效能、自我管理各维度得分及总分均显著高于干预前(P<0.05),且观察组自我效能、自我管理各维度得分及总分均显著高于对照组,差异有统计学意义(P<0.05);对照组患者干预前后自我效能、自我管理各维度得分及总分比较,差异无统计学意义(P>0.05)。干预后,观察组生活质量总分以及各维度得分显著高于干预前(P<0.05),且观察组生活治疗总分及各维度得分显著高于对照组,差异有统计学意义(P<0.05);干预后,对照组生活质量总分及各维度得分显著高于干预前,差异有统计学意义(P<0.05)。结论对肾移植受者实施延续护理能够显著改善患者自我管理效能与自我管理能力,提高患者生活质量。

Objective To explore the application effect of continuous nursing in self-management ability of kidney transplant recipients. Methods A total of 60 patients with kidney transplantation in the hospital from January 2015 to December 2017 were enrolled in the study. They were randomly divided into observation group and control group, with 30 cases in each group. The control group received routine nursing and postoperative follow-up. The observation group was treated with continuous nursing on the basis of routine nursing. The scores of self-efficacy, self-management ability and quality of life were compared between the two groups before and after intervention. Results The each dimension score and total scores of self-efficacy and self-management in the observation group after intervention were significantly higher than those before intervention, and the difference was significant(P<0.05). After intervention, the each dimension score and total scores of self-efficacy and self-management dimensions of the observation group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the each dimension score and total scores of self-efficacy and self-management in the control group before and after intervention(P>0.05). The total scores and each dimension score of quality of life in the observation group after intervention were significantly higher than those before the intervention, and the difference was statistically significant(P<0.05). After the intervention, the total scores and each dimension score of life treatment in the observation group were significantly higher than those in the control group, and the difference was statistically significant(P<0.05). The total scores and each dimension score of quality of life in the control group after intervention were significantly higher than those before the intervention, and the difference was statistically significant(P<0.05). Conclusion The implementation of continuous nursing for kidney transplant recipients can significantly improve patients' self-management efficacy and self-management ability and improve their quality of life.