基于健康行为改变整合理论的护理干预在维持性血液透析患者血管通路维护管理中的应用效果

Application Effect of Nursing Intervention Based on Health Behavior Change Integration Theory in Vascular Access Maintenance Management of Maintenance Hemodialysis Patients

目的:分析基于健康行为改变整合理论的护理干预在维持性血液透析患者血管通路维护管理中的应用效果。方法:选取2022年5—12月于镇江市第一人民医院行维持性血液透析治疗的患者62例作为研究对象,根据随机数字表法分为对照组和观察组,各31例。对照组采用常规血管通路维护管理,观察组采用基于健康行为改变整合理论的护理干预。比较两组护理效果。结果:干预后,两组血管通路护理、血管通路日常维护、血管通路功能监测、并发症预防评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组症状体征管理、并发症预防评分及总评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.036)。观察组护理总满意度高于对照组,差异有统计学意义(P=0.028)。结论:基于健康行为改变整合理论的护理干预在维持性血液透析患者血管通路维护管理中的应用效果显著,能够提升患者血管通路维护认知水平,改善自我护理行为,降低并发症发生率,提高护理满意度。

Objective:To analyze application effect of nursing intervention based on health behavior change integration theory in vascular access maintenance management of maintenance hemodialysis patients.Methods:A total of 62 patients undergoing maintenance hemodialysis in Zhenjiang First People's Hospital from May 2022 to December 2022 were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 31 cases in each group.The control group implemented routine vascular access maintenance management and observation group implemented nursing intervention based on health behavior change integrated theory.The nursing effects were compared between two groups.Results:After intervention,the scores of vascular access nursing,vascular access daily maintenance,vascular access function monitoring,and complication prevention in the two groups were higher than those before intervention,and the observation group was higher than the control group,with a statistically significant difference(P<0.05);the symptoms and signs management,complication prevention scores and total scores in the two groups were higher than those before intervention,and the observation group was higher than the control group,with a statistically significant difference(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.036).The total satisfaction with nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.028).Conclusion:The nursing intervention based on health behavior change integration theory has a significant application effect in vascular access maintenance management of maintenance hemodialysis patients,and can improve cognitive level of vascular access maintenance,ameliorate self-care behavior,reduce the incidence of complications,and improve the nursing satisfaction.