以患者需求为导向的阶段性干预结合知信行健康教育对慢性肾病行CRRT患者疾病健康行为及代谢情况的影响

Effects of patient demand-oriented staged intervention combined with knowledge-attitude-practice health education on disease health behavior and metabolism in patients with chronic kidney disease undergoing CRRT

目的 探讨以患者需求为导向的阶段性干预结合知信行健康教育对慢性肾病行连续性肾脏替代治疗(CRRT)患者疾病健康行为及代谢情况的影响。方法 选择2021年1月至2022年1月收治的100例慢性肾病患者为研究对象,以随机数字表法将其分为对照组与观察组,各50例。对照组接受常规护理干预,观察组在对照组基础上实施以患者需求为导向的阶段性干预结合知信行健康教育。比较两组的干预效果。结果 干预后,观察组的饮食及服药管理、病情自我监测、积极配合治疗及规律作息评分均高于对照组(P<0.05)。干预后,观察组的血磷、总胆固醇(TC)水平低于对照组,血钙水平高于对照组(P<0.05)。干预后,观察组的中文版恐惧疾病进展简化量表(FoP-Q-SF)评分低于对照组,肾脏疾病特异性调查表(KDQ)评分高于对照组(P<0.05)。结论 以患者需求为导向的阶段性干预结合知信行健康教育能改善慢性肾病行CRRT患者疾病健康行为及代谢情况,提高其生活质量,减轻疾病恐惧程度。

Objective To explore the effects of patient demand-oriented staged intervention combined with knowledge-attitude-practice health education on disease health behavior and metabolism in patients with chronic kidney disease undergoing continuous renal replace treatment(CRRT).Methods A total of 100 patients with chronic kidney disease admitted from January 2021 to January 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 50 cases in each group.The control group received routine nursing intervention,while the observation group received patient demand-oriented staged intervention combined with knowledge-attitude-practice health education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of diet and medication management,disease self-monitoring,active cooperation in treatment and regular work and rest in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of serum phosphorus and total cholesterol(TC)in the observation group were lower than those in the control group,and the level of serum calcium was higher than that in the control group(P<0.05).After intervention,the Fear of Progression Questionnaire-Short Form(FoP-Q-SF)score in the observation group was lower than that in the control group,and the Kidney Disease Questionnaire(KDQ)score was higher than that in the control group(P<0.05).Conclusion The patient demand-oriented staged intervention combined with knowledge-attitude-practice health education can improve the health behavior and metabolism of patients with chronic kidney disease undergoing CRRT, elevate quality of life, and reduce the degree of disease fear.