互动达标理论护理在血液透析继发性甲状旁腺功能亢进患者中的应用

Application of Interaction Standard Theory Nursing in Hemodialysis Patients with Secondary Hyperparathyroidism

目的研究互动达标理论护理在血液透析继发性甲状旁腺功能亢进患者中的应用效果。方法选取2019年11月~2023年1月我院收治的82例血液透析继发甲状旁腺功能亢进患者,通过随机数字表法将其分为对照组和研究组,每组各41例。对照组行常规护理,研究组行互动达标理论护理,对比两组患者干预前后疾病应对方式及相关实验室指标水平。结果干预前,两组MCMQ的各项因子得分比较,均无统计学意义(P>0.05)。干预后,两组在MCMQ量表中MCMQ评分及屈服因子评分明显降低(P<0.05),而研究组MCMQ降低降低明显(P<05),积极面对评分均有提升(P<05),研究组提升明显(P>0.05)。干预后,研究组血钙、血磷及全段甲状旁腺激素水平改善程度优于对照组(P<0.05)。结论互动达标理论护理可有效提升血液透析继发甲状旁腺功能亢进患者积极应对方式,改善相关实验室指标。

Objective:To study the effect of interaction standard theory nursing in hemodialysis patients with secondary hyperparathyroidism.Methods:A total of 82 hemodialysispatients with secondary hyperparathyroidism in our hospital from November 2019 to January 2023 were selected,and were randomly divided into a control group and a study group using a random number table method,with 41 cases in each group.The control group received standard nursing,while the study group received interaction standard theory nursing.The disease coping strategies and related laboratory indicators before and after intervention were compared in both groups.Results:Before intervention,there was no statistical significance in the factor scores of MCMQ between the two groups(P>0.05).After intervention,the scores of MCMQ and yield factor in MCMQ scale decreased in both groups(P<0.05),while the scores of MCMQ decreased significantly in the study group(P<0.05),and positive facing scores were improved(P<0.05),with a significant improvement in the study group(P>0.05).After intervention,the levels of serum calcium,phosphorus and parathyroid hormone in the study group improved better than those in the control group(P<0.05).Conclusion:Interaction standard theory nursing can effectively enhance the active coping strategies of hemodialysis patients with secondary hyperparathyroidism and improve related laboratory indicators.