以动机行为转变为基础的康复护理对慢性肾功能衰竭血液透析患者肾脏病饮食依从性的影响

Effect of Rehabilitation Nursing Based on Motivation and Behavior Change on Diet Compliance of Hemodialysis Patients with Chronic Renal Failure

目的探究以动机行为转变为基础的康复护理对慢性肾功能衰竭血液透析患者肾脏病饮食依从性的影响.方法选择本院2020年9月—2021年11月收治的94例慢性肾功能衰竭血液透析患者为研究对象,按随机数字表法分为对照组(n=47)和观察组(n=47).对照组采用常规护理,观察组采用以动机行为转变为基础的康复护理,均持续护理3个月.比较两组的肾脏病饮食依从性、透析充分性、生活质量及护理满意度.结果护理后,观察组的肾脏病饮食依从性量表、肾脏病饮食依从行为量表评分分别为(90.23±3.14)分、(83.29±3.94)分,均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的尿素氮、血清肌酐水平均低于对照组,尿素清除分数、健康调查简表评分均高于对照组高,组间差异有统计学意义(P<0.05).观察组的护理满意度为95.74%,高于对照组的80.85%,差异有统计学意义(P<0.05).结论以动机行为转变为基础的康复护理能够有效提高慢性肾功能衰竭血液透析患者的肾脏病饮食依从性及透析充分性,改善其生活质量,进而提高护理满意度,值得临床推广使用.

Objective To explore the effect of rehabilitation nursing based on motivation and behavior change on diet compliance of patients with chronic renal failure undergoing hemodialysis.Methods A total of 94 hemodialysis patients with chronic renal failure admitted to our hospital from September 2020 to November 2021 were selected as the research objects and were divided into a control group(n=47)and an observation group(n=47)according to the random number table method.The control group received routine nursing,while the observation group received rehabilitation nursing based on motivation and behavior change.Both groups continued nursing for 3 months.The diet compliance,dialysis adequacy,quality of life and nursing satisfaction were compared between the two groups.Results After nursing,the scores of renal adherence altitudes questionnaire and renal adherence behavior questionnaire in the observation group were(90.23±3.14)points and(83.29±3.94)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the levels of urea nitrogen and serum creatinine in the observation group were lower than those in the control group,the scores of urea clearance and the MOS item short from health survey were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.74%,which was higher than 80.85%of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing based on motivation and behavior change can effectively improve the diet compliance and dialysis adequacy of hemodialysis patients with chronic renal failure,improve their quality of life,and improve nursing satisfaction,which is worthy of clinical application.