舒适护理对维持性血液透析老年患者自我管理行为的影响

The impact of comfort care on self- management behaviors of elderly patients suffering maintenance hemodialysis

目的探讨舒适护理对老年维持血液透析(MHD)病人自我管理行为及健康相关生活质量(HRQOL)的影响作用。方法按预订标准连续选取80例老年MHD病人。随机分为研究组(40例)和对照组(40例),对照组予以常规专科护理,研究组在基础护理上加以舒适护理。护理效果判断,于研究开始前、干预后6个月对两组病人自我管理行为与HRQOL进行评估。评价工具,自我管理行为问卷和简明健康调查问卷(SF-36)。结果干预6个月后,无论是研究组和对照组相比,还是研究组6个月自身前后比较,接受舒适护理后MHD病人的自我管理行为得到明显改善(P<0.05),HRQOL显著提高(P<0.05)。结论舒适护理干预能提高病人自我管理行为能力,进而提升病人HRQOL,另外,病人的主要生化指标也有一定的改善,值得推广。

Objective To investigate the effects of comfort care on self- management behaviors and health- related quality of life（ HRQOL） of the elderly patients suffering maintenance hemodialysis（ MHD）.Methods 80 cases of MHD elderly patients were continuously selectedand randomly divided into experimental group and control group,40 cases in each group. Patients in the control group received routine care. However,the experimental group was given comfort care. We assessedtheir self- management behaviors and health- related quality of life both at before and six months after the intervention with improved self- management behavior questionnaire and concise health questionnaire before（ SF- 36）. Results Six months after the intervention,self- management behavior was improved in MHD elderly patients in the intervention group compared to the control group and before the intervention（ P〈0. 05）,HRQOL also significantly increased（ P〈0. 05）. Conclusions Comfort nursing can improve the ability of self- management behavior,and also enhance HRQOL among MHD elderly patients,in addition,the main biochemical parameters of patients also significantly improved.