目标策略的个体化干预在肾移植术后患者应对方式和预防并发症中的效果评价

Effect evaluation of individualized intervention of target strategy in coping style and prevention of complications for patients after kidney transplantation

目的探究目标策略的个体化干预在肾移植术后患者中的应用效果。方法选取2021年1月至2022年9月该院收治的肾移植术后患者80例为研究对象,按照随机数字表法分为对照组、观察组,每组40例。对照组给予常规护理干预,观察组在对照组护理基础上,给予目标策略的个体化干预。比较两组并发症发生率、简易应对方式问卷(SCSQ)、焦虑自评量表(SAS)、肾移植患者生活质量评定量表(QOL-RT)、自我护理能力测定表(ESCA)、抑郁自评量表(SDS)评分。结果观察组并发症发生率为5.00%,明显低于对照组的22.50%,差异有统计学意义(χ^(2)=5.165,P=0.023)。干预前,两组消极应对、积极应对、SAS、SDS、QOL-RT、ESCA评分比较,差异无统计学意义(P>0.05)。干预后,观察组消极应对、SAS、SDS评分低于对照组,积极应对、QOL-RT、ESCA评分高于对照组,差异有统计学意义(P<0.05)。结论目标策略的个体化干预应用于肾移植术后患者中,可降低并发症风险,改善患者情绪状态,增强自护能力,促进其积极面对生活,有助于提高生活质量。

Objective To explore the application effect of individualized intervention of target strategy in patients after kidney transplantation.Methods A total of 80 patients after kidney transplantation admitted to Zhengzhou Seventh People′s Hospital from January 2021 to September 2022 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given individualized intervention of target strategy on the basis of the control group.The incidence of complications,Simple Coping Style Questionnaire(SCSQ),Self-rating Anxiety Scale(SAS),Quality of Life for Renal Transplant Patients(QOL-RT),Exercise of Self-care Agency Scale(ESCA)and Self-rating Depression Scale(SDS)scores were compared between the two groups.Results The incidence of complications in the observation group was 5.00%,which was significantly lower than 22.50% in the control group,the difference was statistically significant(χ^(2)=5.165,P=0.023).Before intervention,there was no statistically significant difference on the scores of negative coping,positive coping,SAS,SDS,QOL-RT and ESCA between the two groups(P>0.05).After the intervention,the scores of negative coping,SAS and SDS of the observation group were lower than those of the control group,and the scores of positive coping,QOL-RT and ESCA were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application of individualized intervention of target strategy in patients after kidney transplantation can reduce the risk of complications,improve the emotional state of patients,enhance their self-care ability,promote them to actively face life,and help improve the quality of life.