基于自我管理模式的护理干预对肾移植患者的影响

Effects of a Nursing Intervention Based on a Self-management Model in Renal Transplant Patients

目的分析基于自我管理模式的护理干预对肾移植术患者的影响.方法选取2019年1月至2020年8月昆明市第一人民医院泌尿外科收治的72例肾移植患者为研究对象,所有患者术后移植肾功能稳定恢复,随机分为观察组(n=36)和对照组(n=36).对照组患者实施常规护理,观察组患者实施基于自我管理模式的个案管理护理干预.采用自制问卷调查两组患者的自我管理能力评分,并比较并发症发生情况,以及生活质量.结果观察组患者院外的各项自我管理能力评分均显著高于对照组,差异有统计学意义(P<0.05).观察组的并发症发生率为2.78%,显著低于对照组的19.44%,差异有统计学意义(P<0.05).观察组患者各项生活质量评分均显著高于对照组,差异有统计学意义(P<0.05).结论基于自我管理模式的护理干预可显著提高肾移植患者院外的自我管理能力,从而有效控制并发症发生率,提升远期生活质量.

Objective This study aimed to analyze the effects of a nursing intervention based on a selfmanagement model in renal transplant patients.Methods From January 2019 to August 2020,72 cases of renal transplantation in patients treated at the Department of Urology of the Kunming First People's Hospital were studied.All patients were randomly divided into an observation group(n=36)and control group(n=36).The control group received routine nursing,whereas the observation group received a case management nursing intervention based on a self-management model.A self-reported questionnaire was used to investigate the self-management ability scores of the two groups,and the incidence of complications and the quality of life were compared.Results The self-management ability scores in the observation group were significantly higher than those in the control group(P<0.05).The complication rate in the observation group was 2.78%,which was significantly lower than the 19.44%in the control group(P<0.05).The quality of life scores in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The nursing intervention based on a self-management model significantly improved the self-management ability of renal transplant patients outside the hospital,thus effectively controlling the incidence of complications and improving the long-term quality of life in patients.