预见性护理对血液透析患者自护能力及健康行为的影响

Effect of Predictive Nursing on Self-care Ability and Health Behavior of Hemodialysis Patients

目的探究预见性护理对尿毒症血液透析患者自护能力及健康行为的临床效果。方法选取2018年1月至2019年12月来我院接受血液透析治疗的90例尿毒症患者纳入研究序列,随机分为对照组和观察组,两组均为45例,对照组行常规护理,观察组行预见性护理,对比分析两组患者自护能力、健康行为及并发症发生率的组间差异。结果在自护能力及遵医行为方面,干预前组间对比无显著差异(P>0.05),干预后观察组患者的自护能力、遵医行为评分均明显高于对照组,组间对比差异显著(P<0.05);在并发症发生率方面,观察组患者为2.22%,明显低于对照组的17.78%(χ~2=4.440,P<0.05)。结论预见性护理干预可有效改善尿毒症血液透析患者的自护能力和遵医行为,对于降低并发症发生率也具有积极作用。

Objective To explore the clinical effect of predictive nursing on improving the self-care ability and health behavior of uremia patients on hemodialysis.Methods Ninety cases of uremic patients who came to the hospital for hemodialysis treatment from January 2018 to December 2019 were included in the study sequence and randomly divided into a control group and an observation group.Both groups were 45 cases.The control group received routine care.The observation group underwent predictive nursing,and compared and analyzed the differences between the two groups in self-care ability,healthy behavior and incidence of complications.Results In terms of self-care ability and compliance behavior,there was no significant difference between the groups before intervention(P>0.05).After intervention,the self-care ability and compliance behavior score of the observation group were significantly higher than the control group The difference was significant(P<0.05);in terms of complication rate,the observation group was 2.22%,which was significantly lower than 17.78%of the control group(χ~2=4.440,P<0.05).Conclusion Predictive nursing intervention can effectively improve the self-care ability and compliance behavior of patients with uremia hemodialysis,and also play a positive role in reducing the incidence of complications.