基于ADL能力训练方案对老年维持性血液透析患者自理能力及并发症的影响

Effect of ADL capacity-based training on self-care ability and complications in elderly maintenance hemodialysis patients

目的探讨日常生活能力(ADL)训练干预方案在老年维持性血液透析(MHD)患者中的应用价值。方法选取2018年1月至2021年1月甘肃中医药大学附属医院收治的64例老年MHD患者作为研究对象,按随机数字表法分为对照组(32例)和观察组(32例)。对照组采用常规护理,观察组采用ADL能力训练干预。比较两组的负面情绪抑郁自评量表(SDS)、生活自理能力Barther指数(BI)、护理满意度及并发症发生情况。结果干预前,两组的SDS、BI评分比较,差异无统计学意义(P>0.05);干预后,观察组的SDS评分低于对照组,BI评分高于对照组,差异均有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,观察组的并发症总发生率低于对照组,差异均有统计学意义(P<0.05)。结论ADL能力训练干预方案能减轻老年MHD患者的抑郁情绪,提高其生活自理能力,降低并发症的发生,提高护理满意度。

Objective To explore the value of daily life ability(ADL)training intervention in elderly patients with maintenance hemodialysis(MHD).Methods A total of 64 elderly patients with MHD admitted to Affiliated Hospital of Gansu University of Traditional Chinese Medicine from January 2018 to January 2021 were selected,and divided into the control group(32 cases)and the observation group(32 cases)according to random number table method.The control group used routine care,ADL ability training intervention was used in the observation group.The negative emotion(self-rating depression scale[SDS],self-care ability Barther index[BI]),nursing satisfaction and complications were compared between the two groups.Results Before the intervention,the differences in SDS,BI scores of two groups were not statistically significant(P>0.05).After the intervention,SDS score in the observation group was lower than that in the control group,BI score was higher than that of the control group,the differences were statistically significant(P<0.05).The nursing total satisfaction of the observation group was higher than that of the control group,the total incidence of complications in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion ADL ability training intervention can reduce depression in elderly patients with MHD,improve their ability to take care of themselves,reduce complications,improve nursing satisfaction.