协同护理对血液透析患者自我护理能力的影响分析

Effect of Collaborative Nursing on Self-care Ability of Hemodialysis Patients

目的探究协同护理在血液透析患者护理中的应用效果及对患者自我护理能力的影响。方法随机选取2020年1月—2023年10月江苏省盱眙县中医院收治的70例血液透析患者为研究对象,采用随机电脑盲选法将其分成两组,每组35例,对照组实行常规护理,观察组实行协同护理。比较两组自我护理能力、治疗依从度、生活质量、满意度和透析不良反应发生情况。结果护理后,观察组自我概念评分[(38.57±3.22)分]、知识和信息寻求评分[(26.74±1.49)分]、被动性评分[(39.01±3.51)分]、动机评分[(47.88±4.20)分]均显著高于对照组,差异有统计学意义(t=4.722、6.496、3.166、2.364,P均<0.05)。观察组治疗依从性评分、生活质量评分以及护理满意度评分均高于对照组,差异有统计学意义(P均<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论协同护理对血液透析患者具有辅助性治疗作用,有利于提高患者自我护理效能和治疗依从性,避免诸多不良反应的发生,显著提高患者生活质量与满意度。

Objective To explore the application effect of collaborative nursing in the nursing of hemodialysis patients and its influence on patients'self-care ability.Methods 70 hemodialysis patients admitted to Xuyi County Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2020 to October 2023 were randomly selected as study subjects,and they were divided into two groups of 35 cases each by randomized computerized blind selection method,with the control group practicing routine care and the observation group practicing collaborative care respec-tively.The two groups were compared in terms of self-care ability,treatment compliance,quality of life,satisfaction and the occurrence of dialysis adverse reactions.Results After care,the observation group had significantly higher scores of self-concept[(38.57±3.22)points],knowledge and information seeking[(26.74±1.49)points],passivity[(39.01±3.51)points],and motivation[(47.88±4.20)points]than the control group,and the differences were statisti-cally significant(t=4.722,6.496,3.166,and 2.364,all P<0.05).The observation group's treatment adherence score,quality of life score,and nursing satisfaction score were higher than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Collaborative nursing has an auxiliary therapeutic effect on hemodialysis patients,which is conducive to improving patients'self-care effi-cacy and treatment compliance,avoiding many adverse reactions,significantly improving patients'quality of life and satisfaction.