责任个体化护理模式对肾衰竭患者自我管理能力及生活质量的影响

Effect of Responsibility-individualized Nursing Model on Self-management Ability and Quality of Life of Patients with Renal Failure

目的:探讨责任个体化护理模式对肾衰竭患者自我管理能力及生活质量的影响。方法:将2018年1月1日~2019年1月31日收治的92例肾衰竭患者按照随机数字表法分为研究组和对照组各46例,对照组实施常规护理,研究者在常规护理基础上采用责任个体化护理模式;比较两组干预前及干预3个月后自我管理能力(采用血液透析自我管理行为问卷)、自我效能[采用慢性病自我效能量表(CDSES)]、负性情绪[采用医院焦虑抑郁量表(HADS)]、生活质量[采用肾病相关生存质量量表(KDQOL-SFTM)]水平,比较两组随访3个月时间内并发症(血压异常、失衡综合征、心律失常、发热、感染)发生情况。结果:干预3个月后,两组自我管理能力、CDSES、KDQOL-SFTM评分较干预前升高(P<0.05),且研究组高于对照组(P<0.05);干预3个月后,两组HADS评分较干预前降低(P<0.05),且研究组低于对照组(P<0.05)。两组血压异常、失衡综合征、心律失常、发热、感染发生率比较差异无统计学意义(P>0.05)。结论:责任个体化护理模式能够有效提升肾衰竭患者的自我管理能力、自我效能及生活质量,缓解负性情绪。

Objective:To investigate the effect of responsibility individualized nursing on self-management ability and quality of life of patients with renal failure.Methods:A total of 92 cases of renal failure patients admitted from January 1,2018 to January 31,2019 were divided into the study group and the control group with 46 cases each according to the random number table method.The control group carried out routine nursing,and the research group adopted responsibility individualized nursing intervention on the basis of routine nursing.The self management ability(with hemodialysis self-management behavior questionnaire),self-efficacy[with chronic disease self-efficacy scale(CDSES)],negative emotions[the hospital anxiety depression scale(HADS)],and the quality of life[with kidney disease related quality of life scale(KDQOL-SFTM)]level were compared between the two groups before intervention and 3 months after intervention.The incidence of complications(abnormal blood pressure,imbalance syndrome,cardiac arrhythmias,fever,and infection)was compared between the two groups 3 months after follow-up.Results:After 3 months of intervention,the self-management ability,CDSES,and KDQOL-SFTM square of the two groups of patients were higher than that before intervention(P<0.05),and the research group was higher than the control group(P<0.05).After 3 months of intervention,the HADS score in the two groups was lower than that before intervention(P<0.05),and that in the study group was lower than that in the control group(P<0.05).There was no significant difference in the incidence of abnormal blood pressure,imbalance syndrome,arrhythmia,fever and infection between the two groups(P>0.05).Conclusion:Responsibility individualized nursing model can effectively improve the self-management ability,self-efficacy and quality of life of patients with renal failure,and reduce negative emotions.