六师联动模式在慢性肾脏病延续护理中的应用

Application of six-division linkage mode in continuous nursing service of chronic kidney disease

[目的]探索六师联动模式在慢性肾脏病延续护理中的应用效果。[方法]选取2016年3月-2017年10月在肾内科就诊的慢性肾脏病病人120例,按照不同护理方法将病人分为两组各60例。对照组给予常规出院指导和电话随访,观察组在常规出院指导和电话随访的基础上实施六师联动模式进行延续护理。出院时、出院后6个月分别进行两组病人治疗依从性、生活质量和肾功能指标的测量和比较。[结果]观察组病人出院后6个月治疗依从性评分为(45.20±4.20)分,对照组为(38.65±9.10)分,两组比较差异有统计学意义(P<0.05);观察组病人出院后6个月生活质量总分为(76.37±7.91)分,对照组为(63.82±5.34)分,两组比较差异有统计学意义(P<0.05);观察组病人出院后6个月血尿素氮、血肌酐、胱抑素C分别为(11.49±2.20)mmol/L、(416.42±30.14)μmol/L、(3.96±0.25)g/L,对照组分别为(15.09±2.57)mmol/L、(466.80±28.19)μmol/L、(4.40±0.35)g/L,两组比较差异均有统计学意义(P<0.05)。[结论]六师联动模式在慢性肾脏病延续护理中的应用,有助于提高病人的治疗依从性和生活质量,延缓疾病进展。

Objective:To explore the application effect of six division linkage mode in continuous nursing for chronic kidney disease. Methods:A total of 120 patients with chronic kidney disease in the nephrology department of our hospital from March 2016 to October 2017 were selected and divided into the control group and experimental group,with 60 cases in each group. The control group received routine discharge instruction and telephone follow-up. The experimental group received six-division linkage mode in continuous nursing based on routine discharge instruction and telephone follow-up. The compliance,quality of life(QOL),and renal function of the two groups were compared at the time of discharge and 6 months after discharge. Results:At 6 months after discharge,the compliance score of the experimental group was(45. 20±4. 20)points,and the control group was(38. 65±9. 10)points. The difference between the two groups was statistically significant(P<0. 05). The score of QOL in the experimental group was(76. 37±7. 91)points,and the control group was(63. 82±5. 34)points. The difference between the two groups was statistically significant(P<0. 05). At 6 months after discharge,the blood urea nitrogen,serum creatinine,and cystatin C of the experimental group were(11. 49±2. 20)mmol/L,(416. 42± 30. 14)μmol/L,and(3. 96±0. 25)mg/L,respectively;while,they were(15. 09±2. 57)mmol/L,(466. 80±28. 19)μmol/L,and(4. 40± 0. 35)g/L in the control group,respectively. The differences between the two groups were statistically significant(P<0. 05). Conclusions:The application of six-division linkage mode in continuous nursing service of chronic kidney disease could improve compliance of patients,improve their QOL,and delay the progress of the disease.