基于一点二源的适应性护理用于血液透析患者的效果分析

Effect of the adaptive nursing based on the 1.2 sources on hemodialysis patients

目的研究以一点二源为理论基础的适应性护理作用于血液透析患者的临床疗效。方法2016年1月~2017年1月选取80例血液透析患者,随机分为实验组和对照组,每组40人。实验组采取一点二源为理论基础的适应性护理方式,比较2组护理依从性和满意度、自我护理能力、生活质量、不良反应发生率等统计学差异。结果实验组患者的护理依从性(72.5%比92.5%,χ^2=5.541,P=0.019)、满意度(62.5%比95.0%,χ^2=12.624,P<0.001)优于对照组患者。经积极护理之后,与对照组相比,采用基于一点二源的适应性护理的实验组患者在这些方面的改善明显,具有统计学意义:自我护理效能[(115.71±4.06)比(129.34±5.00),t=1.503,P<0.001]、健康知识[(21.47±3.06)比(25.19±3.42),t=1.242,P<0.001]、自我护理技能[(31.62±2.50)比(34.09±2.86),t=1.303,P<0.001]、自我概念[(20.59±2.57)比(23.61±2.95),t=1.309,P<0.001]、自我护理责任感[(19.37±2.14)比(25.07±3.06),t=2.043,P<0.001]、生理机能[(68.20±7.21)比(85.26±9.37),t=1.688,P<0.001]、精神健康方面[(51.96±8.50)比(63.18±9.74),t=1.313,P<0.001]。实验组患者低血压(15.00%比2.50%,χ^2=3.913,P=0.048)和导管感染的发生率(15.70%比2.50%,χ^2=5.000,P=0.025)低于对照组。结论应用一点二源为理论基础的适应性护理治疗血液透析患者,可以显著提高护理质量、护理满意度和患者生活质量,并且有效减少低血压、导管感染等不良反应的发生率。

Objective To study clinical effect of the adaptive nursing based on the theory of 1.2 sources on hemodialysis patients.Methods A total of 80 hemodialysis patients treated in the period from Jan.2016 to Jan.2017 were recruited.They were randomly divided into experimental group and control group with 40 cases in each group.The control group was treated with routine nursing,and the experimental group was treated with adaptive nursing based on the theory of 1.2 sources.Nursing compliance and satisfaction,self-care ability,quality of life,and incidence of adverse reactions were compared between the two groups.Results T he nursing compliance(72.5%vs.92.5%,χ^2=5.541,P=0.019)and satisfaction(62.5%vs.95%,χ^2=12.624,P<0.001)were better in the experimental group than those in the control group.In the experimental group after active nursing care with the adaptive nursing based on the theory of 1.2 sources,many aspects including selfcare efficacy(115.71±4.06 vs.129.34±5.00,t=1.503,P<0.001),health knowledge[(21.47±3.06)vs.(25.19±3.42),t=1.242,P<0.001],self-care skills[(31.62±2.50)vs.(34.09±2.86),t=1.303,P<0.001],self-concept[(20.59±2.57)vs.(23.61±2.95),t=1.309,P<0.001],self-care responsibility[(19.37±2.14)vs.(25.07±3.06),t=2.043,P<0.001],physiological function[(68.20±7.21)vs.(85.26±9.37),t=1.688,P<0.001],and mental health[(51.96±8.50)vs.(63.18±9.74),t=1.313,P<0.001]improved significantly as compared with those in the control group.Moreover,the incidences of hypotension(15.00%vs.2.50%,χ^2=3.913,P=0.048)and catheter infection(15.70%vs.2.50%,χ^2=5.000,P=0.025)were lower in the experimental group than that in the control group.Conclusion Adaptive nursing based on the theory of 1.2 sources is an effective nursing method for hemodialysis patients.This nursing modality can significantly improve the quality of care,nursing satisfaction and the quality of life,and effectively reduce the incidence of adverse reactions such as hypotension and catheter infection.