基于护士主导的家庭支持模式结合知信行健康教育对维持性血液透析患者自护能力的影响

Effect of nurse-led family support model combined with knowledge-attitude-practice health education on self-care ability in maintenance hemodialysis patients

目的 探讨基于护士主导的家庭支持模式结合知信行健康教育在维持性血液透析中的应用效果。方法 选取2020年1月至2021年12月收治的218例维持性血液透析患者,以随机数字表法将其分为对照组和观察组,各109例。对照组实施常规护理干预,观察组在对照组基础上实施基于护士主导的家庭支持模式结合知信行健康教育干预。比较两组的干预效果。结果 观察组的依从性优良率高于对照组(P<0.05)。观察组的自体动静脉内瘘功能优良率高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的自我护理能力测定量表(ESCA)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的尿素清除指数(KT/V)、尿素下降率(URR)高于对照组,差异具有统计学意义(P<0.05)。结论 基于护士主导的家庭支持模式结合知信行健康教育可促进维持性血液透析患者改善自体动静脉内瘘功能,提高依从性、自护能力及透析质量。

Objective To explore the application effect of nurse-led family support model combined with knowledge-attitude-practice health education in maintenance hemodialysis.Methods A total of 218 maintenance hemodialysis patients admitted from January 2020 to December 2021 were selected and divided into control group and observation group by random number table method,with 109 cases in each group.The control group was given routine nursing intervention,and the observation group was given nurse-led family support model combined with knowledge-attitude-practice health education intervention on the basis of the control group.The intervention effects of the two groups were compared.Results The excellent and good rate of compliance in the observation group was higher than that in the control group(P<0.05).The excellent and good rate of autologous arteriovenous fistula function in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency(ESCA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the KT/V and urea reduction rate(URR)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Nurse-led family support model combined with knowledge-attitude-practice health education can promote maintenance hemodialysis patients to improve the function of autologous arteriovenous fistula,and elevate compliance,self-care ability and dialysis quality.