循证护理模式和聚焦解决模式在维持性血液透析患者中的应用效果比较

Application effect comparison of the evidence-based nursing mode and focused solution mode in maintenance hemodialysis patients

目的探讨循证护理模式和聚焦解决模式在维持性血液透析患者中应用效果。方法选取2018年4~12月我院收治的90例维持性血液透析的终末期肾衰竭患者作为研究对象,按照1:1的比例采用统计学软件随机将其分为对照组(30例)、循证组(30例)、聚焦组(30例)。对照组患者给予常规护理干预,循证组患者采用循证护理模式进行干预,聚焦组患者采用聚焦解决模式进行干预。比较三组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,记录三组患者的并发症总发生率及护理满意度评分。结果循证组、聚焦组患者的并发症总发生率均明显低于对照组,差异有统计学意义(P<0.05);循证组与聚焦组患者的并发症总发生率比较,差异无统计学意义(P>0.05)。三组患者干预前的SDS、SAS评分比较,差异无统计学意义(P>0.05);三组患者干预后SDS、SAS评分均低于干预前,差异有统计学意义(P<0.05);循证组、聚焦组患者干预后的SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05);循证组与聚焦组患者干预后的SDS、SAS评分比较,差异无统计学意义(P>0.05)。循证组、聚焦组患者的护理满意度评分均高于对照组,差异有统计学意义(P<0.05);循证组与聚焦组患者的护理满意度评分比较,差异无统计学意义(P>0.05)。结论对于维持性血液透析患者,采取循证护理模式和聚焦解决模式的效果均显著优于常规护理。

Objective To explore the application effect of the evidence-based nursing mode and focused solution mode in maintenance hemodialysis patients.Methods Ninety patients with end-stage renal failure who underwent maintenance hemodialysis in our hospital from April to December 2018 were enrolled in the study.They were randomly divided into the control group(30 cases),the evidence-based group(30 cases)and the focus group(30 cases)according to the ratio of 1:1 using statistical software.Patients in the control group were given routine nursing intervention,patients in the evidence-based group were given evidence-based nursing,and patients in the focuse group were given focused resolution model.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the three groups were compared before and after intervention.The total incidence rate of complications and nursing satisfaction scores of the three groups were recorded.Results The total incidence rate of complications in the evidence-based group and focuse group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total rate incidence of complications between the evidence-based group and focuse group(P>0.05).There were no significant differences in SDS and SAS scores in the three groups before intervention(P>0.05).The SDS and SAS scores of the three groups after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The SDS and SAS scores of the patients in the evidence-based group and the focus group after intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the SDS and SAS scores between the evidence-based group and focuse group after intervention(P>0.05).The nursing satisfaction scores of the patients in the evidence-based group and the focus group were higher than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the nursing satisfaction scores between the evidence-based group and focuse group(P>0.05).Conclusion For maintenance hemodialysis patients,the effect of use of both evidence-based nursin mode and focused solution mode is significantly better than that of routine nursing.