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基于KANO模式的护理干预方案在血液透析护理中的应用分析

Application Analysis of Nursing Intervention Scheme Based on KANO Model in Hemodialysis Nursing
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摘要 目的探究血液透析患者应用基于KANO模式护理干预方案的作用。方法随机选取2022年1月—2023年12月山东省济南市济阳区人民医院收治的100例血液透析患者作为研究对象。采用不同护理方法均分为观察组和参照组,各50例。参照组行一般护理,观察组加用基于KANO模式的护理干预方案。比较两组患者的血液透析依从性、并发症发生情况及生活质量评分。结果观察组的血液透析依从性评分高于参照组,差异有统计学意义(P<0.05)。护理后,观察组并发症总发生率为6.00%(3/50),低于参照组的20.00%(10/50),差异有统计学意义(χ^(2)=4.332,P<0.05)。护理前,两组患者健康调查简表评分比较,差异无统计学意义(P>0.05);护理后,观察组健康调查简表评分高于参照组,差异有统计学意义(P<0.05)。结论基于KANO模式得到护理干预方案能够改善患者的血液透析依从性,提高患者生活质量,降低并发症发生率。 Objective To explore the effect of using nursing intervention plan based on KANO model on hemodialysis patients.Methods A total of 100 hemodialysis patients admitted to Jiyang District People's Hospital of Jinan City from January 2022 to December 2023 were randomly selected as the study objects.According to different nursing methods,they were divided into observation group and reference group with 50 cases in each group.The reference group received general nursing,and the observation group received nursing intervention program based on KANO model.Hemodialysis compliance,complications and quality of life scores were compared between patients in two groups.Results The hemodialysis compliance score of the observation group was higher than that of the reference group,and the difference was statistically significant(P<0.05).After nursing,the total incidence of complications in the observation group was 6.00%(3/50),lower than that in the reference group[20.00%(10/50)],and the difference was statistically significant(χ^(2)=4.332,P<0.05).Before nursing,there was no significant difference the score of the MOS Item Short Form Health Survey between patients in two groups(P>0.05);after nursing,the score of the MOS Item Short Form Health Survey in the observation group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion Nursing intervention plans based on the KANO model can improve patient compliance with hemodialysis,improve patient quality of life,and reduce the incidence of complications.
作者 盛玉霞 曲海霞 曹珊珊 刘霞 SHENG Yuxia;QU Haixia;CAO Shanshan;LIU Xia(Hemodialysis Room,Jiyang District People's Hospital,Jinan 251400,Shandong,China)
出处 《中外医疗》 2024年第22期174-177,共4页 China & Foreign Medical Treatment
关键词 KANO模式 血液透析 透析依从性 生活质量 并发症 KANO mode Hemodialysis Dialysis compliance Quality of life Complication
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