行动研究法在老年慢性肾病患者中西医结合延续性护理中的应用

Application of action research method in elderly CKD patients with continuous care of Chinese-western medicine

目的:探讨行动研究法在老年慢性肾病患者延续性护理中的应用效果。方法:将76例已出院的老年慢性肾病患者随机分为对照组和观察组。对照组患者给予传统的健康教育指导即电话随访,观察组患者给予以行动研究法为重点的延续性护理,6个月后比较两组患者在疾病认知程度、中医症候积分、中医症候护理效果、生活质量、对以行动研究法为重点的中西医结合延续性护理满意度方面的差异。结果:观察组患者对慢性肾病知识知晓率、延续性护理满意度、中医症候护理效果和生活质量各项指标均明显优于对照组,差异有统计学意义(P<0.05),中医症候积分两组患者经延续性护理后均呈下降趋势,但观察组患者中医症候积分明显低于对照组,差异具有统计学意义(P<0.05)。结论:行动研究法对老年慢性肾病患者的中西医结合延续性护理可提高患者对疾病基础知识的了解、对饮食禁忌、中医推拿的认知程度,从而提高延续性护理效果和对延续性护理满意度,改善老年慢性肾病患者生活质量。

Objective： To evaluate the outcomes of using action research method in elderly CKD patients with continuous care of Chinese-western medicine Methods： Seventy six elderly patients with chronic kidney disease discharged from hospital were randomly divided into control group and observation group. Control group was given the traditional health education guidance-telephone follow-up, observation group was given the action study method in their continuous care for 6 months. The degree of their cognition of the disease, the score of the Chinese medicine symptoms, quality of life, and the degree of their satisfaction of the treatments were compared. Results： The observation group performed significantly better than the control group （P 〈 0. 05） in each variable evaluated. Conclusion： The action study method combined with the traditional Chinese-western continuity of care in elderly CKD patients can improve patients’ understanding of their disease, the reasons for diet restriction, and the benefit of Chinese massage, thus improving the quality of life and the satisfaction for continuous care.