自我管理个体护理模式对血液透析患者动静脉内瘘术后护理质量及负性情绪的影响

Effect of Self-Management Individual Nursing Mode on Quality of Nursing and Negative Emotion of Hemodialysis Patients after Arteriovenous Fistula

目的探讨自我管理个体护理模式对血液透析患者动静脉内瘘术后护理质量及负性情绪的影响。方法选取2020年6月-2021年12月我院收治的60例血液透析动静脉内瘘术患者,将其分为观察组和对照组,每组各30例。对照组给予常规护理,观察组此基础上需实施自我管理个体护理。比较来两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、护理质量、护理满意度。结果观察组护理后HAMA、HAMD评分呈现下降趋势且观察组更低(P<0.05)。观察组身体护理、给予/接受信息、尊重、支持、环境、护理流程、医务人员特征评分上升幅度更大(P<0.05)。与对照组比较,观察组护理满意度显著提高(90.00%>66.67%,P<0.05)。结论自我管理个体护理模式可以提高血液透析动静脉内瘘术患者的护理质量和护理满意度,对其负性情绪有改善作用,临床应当关注。

Objective:To explore the effect of self-management individual nursing mode on quality of nursing and negative emotions of hemodialysis patients after arteriovenous fistula.Methods:60 hemodialysis patients treated with arteriovenous fistula in our hospital from June 2020 to December 2021 were selected,and were divided into the observation group and the control group,with 30 cases in each group.The control group was given routine nursing,and the observation group needed self-management individual nursing on the basis of the control group.The Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),nursing quality and nursing satisfaction were compared between the two groups.Results:The scores of HAMA and HAMD in the observation group showed a downward trend after nursing,and the scores in the observation group were lower(P<0.05).In the observation group,the scores of physical nursing,giving/receiving information,respect,support,environment,nursing process and medical staff's characteristics increased more significantly(P<0.05).Compared with the control group,the nursing satisfaction of the observation group was significantly higher(90.00%>66.67%,P<0.05).Conclusion:Self-management individual nursing mode can improve nursing quality and nursing satisfaction of hemodialysis patients undergoing arteriovenous fistula,and improve negative emotion,which should be paid attention to clinically.