基于健康行为互动模式在维持血液透析患者干体重管理行为中的应用

Application of interactive model based on healthy behavior in maintaining dry weight management behavior of hemodialysis patients

目的:探讨基于健康行为互动模式在维持血液透析患者干体重管理行为中的应用。方法:选取2020年1月~2020年12月维持血液透析患者116例,应用随机数字表法将患者分为观察组(n=58)及对照组(n=58),对照组行透析日常管理,观察组基于健康行为互动模式对患者实施护理干预,比较两组干预前后自我管理行为、血液透析期间体重控制及患者疾病症状负担改善情况。结果:观察组患者血液透析体重增加值(IDWG值)低于对照组,差异有统计学意义(P<0.05),而观察组IDWG达标率高于对照组,差异有统计学意义(P<0.05)。干预后观察组血液透析自我管理量表(HD-SMI)总评分较对照组明显提高,差异有统计学意义(P<0.05)。干预后观察组透析症状负担量表(DFSSBI)总评分及相关维度评分较对照组显著下降,差异有统计学意义(P<0.05)。结论:基于健康行为互动模式能有效提高维持血液透析患者自我管理行为,有助于患者干体重控制,减轻患者透析负担。

Objective To explore the application of healthy behavior interaction model in maintaining dry weight management behavior of hemodialysis patients.Method 116 cases of patients with maintenance hemodialysis were selected from January 2020 to December 2020.The patients were divided into observation group(n=58)and control group(n=58)by random number table.The control group were received with daily management of dialysis.The observation group were implemented with nursing interventions on patients based on the interactive model of healthy behaviors.The intervention,weight control during hemodialysis,and improvement of patients'disease burden of two groups before and after intervention were compared.Results The levels of hemodialysis weight gain(IDWG value)of observation group were lower than those of control group(P<0.05),and the IDWG compliance rate of observation group after intervention were higher than those of control group(P<0.05).The total score of HD-SMI of observation group were significantly higher than control group after intervention(P<0.05).The total score of Dialysis Symptom Burden Scale(DFSSBI)and related dimensions of observation group were significantly lower than control group after intervention(P<0.05).Conclusion The interactive model based on healthy behavior can effectively improve the maintenance of hemodialysis patients'self-management behavior,help patients control their dry weight,and reduce the burden of patients on dialysis.