以行动研究法为基础的延续性护理应用于慢性肾衰竭患者的效果

Effect of continuing nursing based on action research on patients with chronic renal failure

目的探讨以行动研究法为基础的延续性护理应用于慢性肾衰竭患者的效果。方法选取2019年1月至2020年4月张家港市第一人民医院收治的106例慢性肾衰竭患者为研究对象,采用随机数字表法分为对照组和观察组,每组53例。对照组患者接受传统健康宣教护理干预,观察组患者接受以行动研究法为基础的延续性护理干预。比较2组患者护理前后的肾功能、负性情绪和生活质量。结果干预3个月和6个月,2组的肌酐和尿素氮水平均显著低于同组干预前(P均<0.05),且观察组的肌酐和尿素氮水平均显著低于同期对照组(P均<0.05);2组的抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分均显著低于同组干预前(P均<0.05),且观察组均显著低于对照组(P均<0.05);2组的症状/副作用、社会功能、心理功能和躯体功能评分均显著高于同组干预前(P均<0.05),且观察组的上述评分均显著高于对照组(P均<0.05)。结论行动研究法为基础的延续性护理可有效减轻慢性肾衰竭患者情绪障碍,提高肾功能水平,从而改善生活质量。

Objective To explore the effect of continuous nursing based on the action research on patients with chronic renal failure.Methods A total of106patients with chronic renal failure who were admitted to Zhangjiagang First People.s Hospital from January2019to April2020were recruited.They were divided into a control group and an observation group by using a random number table,each with53cases.The control group was given traditional health education and nursing intervention,and the observation group was given continuous nursing intervention based on the action research.The renal function,negative emotions and quality of life before and after nursing were compared between the two groups.Results After3months and6months of intervention,the levels of creatinine and urea nitrogen in the two groups were significantly lower than those before the intervention(all P<0.05),and the levels of creatinine and urea nitrogen in the observation group were significantly lower than those in the control group(all P<0.05).The scores of self-rating depression scale(SDS)and selfrating anxiety scale(SAS)in the two groups were significantly lower than those before the intervention(all P<0.05),and the scores of the observation group were significantly lower than those of the control group(all P<0.05).The scores of symptoms/side effects,social function,psychological function and physical function of the two groups were significantly higher than those before the intervention(all P<0.05),and the above scores of the observation group were significantly higher than those of the control group(all P<0.05).Conclusion Continuous nursing based on the action research for patients with chronic renal failure can effectively alleviate their mood disorders,and improve their renal function and quality of life.