协同护理模式对血液透析患者自我护理能力和透析治疗依从性的影响

Effect of Collaborative Nursing Mode on Self-care Ability and Dialysis Treatment Compliance of Hemodialysis Patients

目的分析协同护理模式对血液透析患者自我保护能力与透析治疗依从性的影响。方法选取2017年3月—2018年3月该院血液透析中心100例血透析患者作为研究对象,将患者随机分为对照组50例、观察组50例,给予对照组患者常规护理,观察组患者给予协同护理模式,比较两组患者自我护理能力与透析治疗依从性。结果通过比较可知,观察组患者护理后自我护理能力总得分(130.42±15.36)分优于对照组(105.26±15.45)分,差异有统计学意义(t=7.364,P<0.05);且两组患者护理前透析治疗依从性无统计学意义(P>0.05),护理后,观察组患者用药依从性(25.34±1.46)分、透析方案依从性(24.26±1.68)分优于对照组患者用药依从性(23.52±1.24)分、透析方案依从性(20.18±1.39),差异有统计学意义(t=7.354、13.254,P<0.05)。结论对血液透析患者给予协同护理模式能够取得良好效果,其不仅有助于提高患者自我护理能,同时能提高患者透析治疗依从性,对提高患者生存质量与生存率发挥重要作用。因此,该护理模式值得在临床中推广应用。

Objective To analyze the effect of collaborative nursing mode on self-protection ability and dialysis treatment compliance of hemodialysis patients. Methods From March 2017 to March 2018, 100 hemodialysis patients in the hospital＇s hemodialysis center were selected as the study subjects. The patients were randomly divided into the control group （50） and the observation group （50）. Patients in the observation group were given a synergistic nursing model, and the self-care ability and dialysis treatment compliance of the two groups were compared. Results By comparison, the total self-care ability score （130.42±15.36）points of the observation group was better than that of the control group （105.26±15.45）points, the difference was statistically significant （t=7.364, P〈0.05）; There was no statistically significant difference in treatment compliance （P〉0.05）. After nursing, patients in the observation group had medication compliance （25.34±1.46）points and dialysis protocol compliance （24.26±1.68）points, which was superior to the control group （23.52±1.24）points and dialysis protocol. Compliance （20.18±1.39）points, the difference was statistically significant （t=7.354、13.254, P〈0.05）. Conclusion The synergistic nursing mode of hemodialysis patients can achieve good results. It not only helps to improve the self-care ability of patients, but also improves the compliance of patients with dialysis treatment, and plays an important role in improving the quality of life and survival rate of patients. Therefore, this mode of care deserves to be promoted and applied in the clinic.