全程护理干预对慢性肾衰竭患者治疗依从性及疗效的影响

Effect of Whole Course Nursing Intervention on Treatment Compliance and Efficacy of Patients with Chronic Renal Failure

目的:探讨全程护理干预对慢性肾衰竭患者治疗依从性及疗效的影响。方法:选择2018年10月-2019年11月于徐州医科大学附属淮安医院就诊治疗的慢性肾衰竭患者60例,按随机数字表法分为对照组和研究组各30例。两组均给予常规护理干预,研究组给予全程护理干预。比较两组干预前后知识掌握程度、生活质量评分(QOL评分)及心理状态(SAS评分、SDS评分),比较两组治疗依从性。结果:护理后两组知识掌握程度评分及生活质量评分均高于护理前,且研究组评分均高于对照组,差异均有统计学意义(P<0.05)。研究组治疗总依从率高于对照组,且研究组依从性程度高于对照组,差异均有统计学意义(P<0.05)。研究组护理后SAS、SDS评分均低于对照组及本组护理前,差异均有统计学意义(P<0.05),对照组护理前后SAS、SDS评分比较差异无统计学意义(P>0.05)。结论:全程护理干预可显著提高慢性肾衰竭患者的相关知识水平及治疗依从性,改善生活质量和心理负面情绪,疗效可靠。

Objective:To explore the effect of whole course nursing intervention on treatment compliance and efficacy of patients with chronic renal failure.Method:Sixty patients with chronic renal failure who were treated at Huai’an Hospital Affiliated to Xuzhou Medical University from October 2018 to November 2019 were selected and divided into the control group and the study group according to the random number table method,with 30 cases in each group.Both groups were given routine nursing intervention,and the study group was given whole course nursing.The knowledge mastery,quality of life score(QOL score)and psychological status(SAS score,SDS score)before and after intervention were compared between the two groups,the treatment compliance between the two groups were compared.Result:After nursing,the scores of knowledge mastery and quality of life in the two groups were higher than those before nursing,and the scores in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The total compliance rate of the study group was significantly higher than that of the control group,and the degree of compliance of the study group was higher than that of the control group,the differences were statistically significant(P<0.05).The SAS,SDS scores in the study group was lower than that in the control group and that before nursing,the differences were statistically significant(P<0.05),there was no significant difference in SAS,SDS scores before and after nursing in the control group(P>0.05).Conclusion:The whole course nursing intervention can significantly improve the relevant knowledge level and treatment compliance of patients with chronic renal failure,improve the quality of life and psychological negative emotion.