思维导图引导多维度阶段式护理干预模式对慢性肾衰竭血液透析患者干预效果

Effect of mind map-guided multi-dimensional staged nursing intervention mode on hemodialysis patients with chronic renal failure

目的 研究思维导图引导多维度阶段式护理干预模式对慢性肾衰竭血液透析患者干预效果。方法 选取2019年1月至2021年12月安徽省亳州市人民医院血透室慢性肾衰竭血液透析80例患者进行研究,采用随机数字表法分为对照组(常规护理)和观察组(常规护理+思维导图引导多维度阶段式护理),各组40例。比较两组并发症发生情况,护理前后生活质量评价量表(SF-36),护理前后心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及患者对护理的满意度。结果 观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。护理后,两组生理功能、躯体疼痛、生理职能、活力、总体健康、情感职能、社会功能、精神健康评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理后,两组SAS、SDS评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 在慢性肾衰竭血液透析患者中应用思维导图引导多维度阶段式护理具有良好效果,不仅可以减少相关并发症,还能改善生活质量,提升满意度,值得推广应用。

Objective To study the effect of multi-dimensional staged nursing intervention mode guided by mind mapguided multi-dimensional staged nursing intervention mode on hemodialysis patients with chronic renal failure.Methods A total of 80 patients with chronic renal failure hemodialysis in hemodialysis room of Bozhou People’s Hospital in Anhui Province from January 2019 to December 2021 were selected for this study.They were divided into control group(routine nursing) and observation group(routine nursing + mind-mapping guided multidimensional stage nursing) by random number table method,with 40 patients in each group.Complications,short form 36 questionnaire(SF-36) before and after care,mental state before and after care(self-rating anxiety scale [SAS],self-rating depression scale [SDS]) before and after care and patients’ satisfaction with nursing were compared between the two groups.Results The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After nursing,the scores of physiological function,body pain,physiological function,vitality,overall health,emotional function,social function,and mental health of the two groups were higher than before nursing,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the SAS and SDS scores of the two groups were lower than before nursing,while those of the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion The application of mind map guided multi-dimensional stage nursing in hemodialysis patients with chronic renal failure has a good effect,which can not only reduce related complications,but also improve the quality of life and enhance satisfaction.It is worth popularizing and applying.