协同护理对血液透析患者自我管理能力及生活质量的影响

Effect of collaborative nursing on self-management ability and quality of life of hemodialysis patients

目的探讨协同护理对血液透析患者自我管理能力及生活质量的影响。方法选择2017年1月~2019年1月本院收治的晚期肾功能衰竭实施长期血液透析者80例,随机分为两组,各40例。对照组行常规护理干预,观察组实施协同护理,对所有患者出院后随访1个月,比较患者自我管理能力、Barthel指数及肾功能变化情况。结果干预后观察组自我管理能力各分项得分均明显高于对照组(P<0.05),干预后观察组肾功能指标基本恢复正常,且尿素氮水平低于对照组(P<0.05),肌酐水平低于对照组(P<0.05),干预后观察组Barthel指数明显高于干预前和干预后对照组(P<0.05)。结论针对尿毒症血液透析者,实施协同护理,对提高患者自我管理能力及生活质量,改善治疗效果等均有重要价值。

Objective To explore the effect of collaborative nursing on self-management ability and quality of life of hemodialysis patients. Methods 80 patients with advanced renal failure who underwent long-term hemodialysis from January 2017 to January 2019 were randomly divided into two groups, with 40 cases in each group. The control group underwent routine nursing intervention, and the observation group underwent collaborative nursing. All patients were followed up for 1 month after discharge, and the patients’ self-management ability, Barthel index and renal function were compared. Results After intervention, the scores of self-management ability of the observation group were signifi cantly higher than those of the control group(P<0.05). After intervention, the renal function index of the observation group returned to normal, and the urea nitrogen level was lower than that of the control group(P<0.05). The creatinine level of the observation group was lower than that of the control group(P<0.05). The Barthel index in the observation group after intervention was significantly higher than that before intervention and that of the control group after inter vention(P<0.05). Conclusion For uremic hemodialysis patients, the implementation of collaborative nursing has important value in improving patients’ self-management ability, quality of life and improving treatment effect.