跨理论模型结合动机性访谈对终末期肾病行腹膜透析患者肾功能的影响

Effect of cross-theoretical model combined with motivational interview on renal function patients who underwent end-stage renal disease and peritoneal dialysis

目的探讨跨理论模型结合动机性访谈对终末期肾病(ESRD)行腹膜透析患者肾功能的影响。方法选取我院2015年8月—2018年2月ESRD腹膜透析患者120例为研究对象,按照组间均衡可比的原则分为观察组与对照组,各60例。对照组给予常规护理,观察组给予跨理论模型结合动机性访谈,干预时间为4周。比较两组肾功能、治疗依从性。结果干预后,观察组血肌酐、血尿酸、血尿素氮以及微量蛋白尿水平明显低于对照组(P<0.05),观察组治疗依从性高于对照组(P<0.05)。结论在腹膜透析治疗中,对患者采取跨理论模型结合动机性访谈,其治疗依从性明显改善,有利于肾功能恢复,对于治疗具有积极意义。

Objective To explore the effect of cross-theoretical model combined with motivational interview on renal function patients who underwent end-stage renal disease(ESRD)and peritoneal dialysis.Methods To select 120 cases of patients undergoing ESRD peritoneal dialysis in hospital from August 2015 to February 2018 as the study objects,and according to the principle of balance and comparability between the groups,they were divided into an observation group and a control group,with 60 cases in each group.The control group was given routine nursing care,and the observation group was given a cross-theoretical model combined with motivational interviews,with 4 weeks of intervention time.The renal function and treatment compliance of the two groups were compared.Results After the intervention,the observation group's blood creatinine,blood uric acid,blood urea nitrogen and microalbuminuria levels were signifi cantly lower than those of the control group(P<0.05),and the treatment compliance in the observation group was higher than that in the control group(P<0.05).Conclusion In the treatment of peritoneal dialysis,a cross-theoretical model combined with motivational interviews was adopted to the patients,and the treatment compliance was signifi cantly improved,which was benefi cial to the recovery of renal function and was of positive significance for the treatment.