个体及集体干预对维持性血液透析患者生存质量的影响研究

Influence of individual and collective interventions on quality of life in patients accepted with maintenance hemodialysis

目的研究个体及集体干预对维持性血液透析(MHD)患者生存质量的影响。方法选取我院2017年2~5月收治的330例MHD患者,随机分为三组,每组各110例。对照组Ⅰ采用常规护理,对照组Ⅱ采用个体化护理干预,观察组采用集体化护理干预。对比干预前后三组的健康状况调查简表(SF-36)、肾脏疾病生活质量简表(KDQOLSFTM)、生存质量变化等指标。结果护理前,三组SF-36与KDQOL-SFTM评分比较,差异无统计学意义(P>0.05);护理后观察组及对照组ⅡSF-36与KDQOL-SFTM评分均高于对照组Ⅰ,且观察组高于对照组Ⅱ,差异有统计学意义(P<0.05)。结论个体及集体干预对MHD析患者生存质量的临床效果显著,可有效改善患者生活质量及生存质量,值得临床推广。

Objective To study the influence of individual and collective interventions on the quality of life inhemodialysis maintenance （MHD） patients. Methods A total of 330 MHD patients who were admitted to our hospitalfrom February to May in 2017 were randomly divided into 3 groups, 110 cases in each group. In control groupⅠ, routine nursing was used, in control groupⅡ, individualized nursing intervention was applied, and in observation group,collective nursing intervention was adopted. The Concise Health Questionnaire （SF-36） on quality of life, KDQOL-SFTMscale, and changes of quality of life before and after intervention were compared. Results Before nursing, there was nosignificant difference in SF-36 or KDQOL-SFTM scoring among the three groups （P〉0.05）. After nursing, SF-36 andKDQOL-SFTM scoring in the observation and control group Ⅱ were higher compared with those in control groupⅠ.What＇s more, the scores of SF-36 and KDQOL-SFTM in the observation group were higher than those in the contro1groupⅡ, which were displayed statistical significance between inter-group comparisons, the differences were statistically significant （P〈0.05）. Conclusion The individual or collective intervention has a significant clinical effect on thequality of life in MHD patients, and can effectively improve their quality of life, which is worthy of clinical promotion.