健康行为互动模式干预策略对慢性肾衰竭腹膜透析患者遵医行为及疾病认知度的影响

Effect of IMCHB Intervention Strategy on Compliance Behavior and Disease Awareness of Peritoneal Dialysis Patients with Chronic Renal Failure

目的探讨健康行为互动模式(IMCHB)干预策略对慢性肾衰竭(CRF)腹膜透析患者遵医行为及疾病认知度的影响。方法选择河南省人民医院2020年1—12月100例应用腹膜透析的CRF患者,按随机数表法分为观察组和对照组,各50例。观察组采用IMCHB护理干预策略,对照组采用常规护理模式策略,比较两组患者在不同护理模式下的遵医行为遵从率和疾病认知度。结果观察组患者的遵医行为遵从率为90.00%(45/50),高于对照组的66.00%(33/50),差异有统计学意义(P<0.05);观察组的疾病认知度(慢性肾衰竭基本知识、饮食要求、腹膜透析操作与注意事项、自我护理)各项评分均高于对照组,差异有统计学意义(P<0.05)。结论在IMCHB护理模式的干预下,慢性肾衰竭腹膜透析患者的遵医行为及疾病认知度均得以提高,有利于患者的病情恢复及生活质量的提高。

Objective To explore the interaction model of client health behavior(IMCHB)intervention strategy on compliance behavior and disease awareness of peritoneal dialysis patients with chronic renal failure.Methods One hundred peritoneal dialysis patients with chronic renal failure from January 2020 to December 2020 were randomly divided into observation group(fifty cases) and control group(fifty cases).The observation group adopted IMCHB nursing intervention strategy,and the control group adopted conventional nursing mode strategy.The compliance and disease awareness of the two groups were compared under different nursing modes.Results The compliance rate of the observation group was 90.00%(45/50),which was higher than 66.00%(33/50) of the control group(P<0.05).The disease awareness(basic knowledge of chronic renal failure,dietary requirements,peritoneal dialysis operation and precautions,self-care)scores of the observation group were higher than those of the control group(P<0.05).Conclusion Under the intervention of IMCHB nursing mode,the compliance behavior and disease awareness of peritoneal dialysis patients with chronic renal failure will be improved,which is conducive to the recovery of patients’ condition and improve the quality of life.