5E管理模式在尿毒症血液透析患者中的应用效果

Application effects of 5E management mode in uremic hemodialysis patients

目的:观察5E管理模式在尿毒症血液透析患者中的应用效果。方法:选取2020年2月至2021年2月该院收治的92例尿毒症血液透析患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各46例。对照组实施常规健康教育,观察组实施5E康复管理模式。比较两组干预前后水盐摄入量(饮食含盐量、饮食含水量、饮水量)水平、容量负荷指标(超滤量、尿量、体质量)水平、睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分及并发症发生率。结果:干预后,两组饮食含盐量、饮食含水量及饮水量均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组超滤量、尿量及体质量均低于干预前,但组间比较,差异无统计学意义(P>0.05);两组日间功能障碍、催眠药物、睡眠障碍、入睡时间、睡眠时间、睡眠效率、睡眠质量各项PSQI评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为13.04%(6/46),低于对照组的32.61%(15/46),差异有统计学意义(P<0.05)。结论:5E管理模式应用于尿毒症血液透析患者可降低水盐摄入量水平、睡眠质量评分和并发症发生率的效果优于常规健康教育效果。

Objective:To observe application effects of 5E management mode in uremic hemodialysis patients.Methods:A prospective study was conducted on 92 uremic hemodialysis patients admitted to the hospital from February 2020 to February 2021.According to the random number table method,they were divided into control group and observation group,46 cases in each group.The control group was given routine health education,while the observation group was given the 5E rehabilitation management mode.The levels of water and salt intake(dietary salt content,dietary water content,water intake)and capacity load index(ultrafiltration volume,urine volume,body weight),the sleep quality[Pittsburgh sleep quality index(PSQI)]score before and after the intervention,and the incidence of complications were compared between the two groups.Results:After the intervention,the dietary salt content,dietary water content and water intake of the two groups were lower than those before the intervention,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the ultrafiltration volume,the urine volume and the body weight levels of the two groups were lower than those before the intervention,but there were no significant differences between the two groups(P>0.05).After the intervention,the PSQI scores of daytime dysfunction,hypnotic drugs,sleep disorders,time before falling asleep,sleep time,sleep efficiency and sleep quality in the two groups were lower than those before the intervention,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 13.04%(6/46),which was lower than 32.61%(15/46)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The 5E management model in the uremic hemodialysis patients can reduce the levels of water and salt intake,the sleep quality scores and the incidence of complications.Moreover,it is superior to the routine health education.