控制论导向的多维度阶段式干预对IgA肾病血液透析患者并发症的影响

Impact of cybernetics-guided multi-dimensional staged nursing intervention on complications related to hemodialysis in patients with IgA nephropathy

目的探讨控制论导向的多维度阶段式干预对接受血液透析治疗的IgA肾病患者并发症的影响。方法选取2020年2月至2023年1月首都医科大学附属北京友谊医院收治的接受血液透析治疗的86例IgA肾病患者为研究对象,依据住院号尾号进行分组,尾号为奇数者分配至对照组,偶数者分配至干预组,每组43例。对照组患者实施常规干预,干预组患者实施控制论导向的多维度阶段式干预,2组均干预1个月。对比2组干预前后心理状态、生命质量、并发症发生情况,同时比较2组患者护理满意度。结果干预后,2组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均降低,且干预组低于对照组(P<0.05)。干预后,2组生命质量量表(SF-36)各维度评分均升高,且干预组高于对照组(P<0.05)。2组干预期间并发症发生率比较,干预组低于对照组(P<0.05)。2组对护理满意度比较,干预组高于对照组(P<0.05)。结论应用控制论导向的多维度阶段式干预可有效降低IgA肾病血液透析患者并发症发生率,改善患者心理状态,提高生命质量及对护理满意度。

Objective To explore the impact of cybernetics-guided multi-dimensional staged nursing intervention on complications related to hemodialysis in patients with immunoglobulin A(IgA)nephropathy(IgAN).Methods Eighty-six IgAN patients who underwent hemodialysis at Beijing Friendship Hospital,Capital Medical University from February 2020 to January 2023 were enrolled.The patients were randomly assigned to the control group(odd tail number,n=43)or the intervention group(even tail number,n=43)based on the the hospitalization number,in which they were given routine intervention and cybernetics-guided multi-dimensional staged nursing intervention,respectively.A 1-month intervention was performed to compare psychological state,quality of life,rate of complications,nursing satisfaction.Results After the intervention,significantly decreased Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)scores,and increased 36-item Short Form Health Survey(SF-36)scores were found in the both groups,which were significantly pronounced in the intervention group than in the control group(P<0.05).The rate of complications in the intervention group was significantly lower than that in the control group(P<0.05),and the nursing satisfaction was significantly higher than that in the control group(P<0.05).Conclusion For IgAN patients underwent hemodialysis,cybernetics-guided multi-dimensional staged nursing intervention can effectively reduce complications related to hemodialysis,improve psychological state,and enhance the quality of life and nursing satisfaction.