基于依从性曲线变化规律的阶段性护理在终末期肾病患者血液透析中的应用

Application of staged nursing based on compliance curve changes in hemodialysis for end-stage renal disease patients

目的探讨终末期肾病患者血液透析中实施基于依从性曲线变化规律的阶段性护理的效果。方法选择2022年1月—2023年10月濮阳市人民医院收治的接受血液透析治疗的86例终末期肾病患者,将其通过单双号抽签的方式分组,即对照组与观察组,各43例,前者实施常规护理,后者在此基础上实施基于依从性曲线变化规律的阶段性护理,对比两组患者护理前后心理状态评分情况、生活质量评分情况及治疗依从性。结果两组患者护理前后正性负性情绪量表(PANAS)评分有一定差距,其中负性情绪显著降低,正性情绪显著提升,而护理后观察组负性情绪评分为(11.67±2.55)分,低于对照组的(16.11±3.02)分,正性情绪为(25.07±5.28),高于对照组的(20.11±5.23)分(t=7.366、4.376,P<0.05);护理后观察组生活质量综合评定量表(GQOLI-74)躯体、心理、社会及物质生活等维度评分分别为(82.17±7.11)分、(82.02±7.45)分、(81.11±7.78)分及(81.11±7.42)分,高于对照组的(71.22±7.23)分、(72.12±7.56)分、(71.23±7.45)分及(70.23±7.33)分(t=7.081、6.116、6.015、6.840,P<0.05);观察组(95.35%)与对照组(76.74%)的治疗依从性比较,前者更高(χ^(2)=6.198,P<0.05)。结论基于依从性曲线变化规律的阶段性护理对于接受血液透析治疗的终末期肾病患者,不仅有助于调整其心理状态,还有助于提高其治疗依从性,使其生活质量也得以全面提高。

Objective To explore the effect of implementing phased nursing based on compliance curve changes in hemodialysis for end-stage renal disease patients.Methods The research deadline was from January,2022 to October,2023.The research object was 86 patients with end-stage renal disease who received hemodialysis treatment in Puyang People’s Hospital,and they were divided into control group and observation group with 43 patients in each group by odd and even numbers.The former was given routine care,while the latter was given stage nursing based on the change of compliance curve.The psychological state score,quality of life score and treatment compliance of the two groups were compared before and after care.Results There was a certain difference in the Positive and Negative Affect Scale(PANAS)scores between the two groups before and after nursing,in which the negative emotion was significantly reduced and the positive emotion was significantly improved.After nursing,the negative emotion score of the observation group was(11.67±2.55),which was significantly lower than that of the control group(16.11±3.02),and the positive emotion score was(25.07±5.28),which was significantly higher than that of the control group(20.11±5.23)(t=7.366,4.376,P<0.05).After nursing,the scores of Generic Quality of Life Inventory-74(GQOLI-74)in the observation group were(82.17±7.11),(82.02±7.45),(81.11±7.78)and(81.11±7.42),which were significantly higher than those in the control group(71.22±7.23),(72.12±7.56),(71.23±7.45)and(70.23±7.33)(t=7.081,6.116,6.015,6.840,P<0.05).The treatment compliance of the observation group(95.35%)was higher than that of the control group(76.74%)(χ^(2)=6.198,P<0.05).Conclusions Choosing stage nursing based on the variation pattern of compliance curve for end-stage renal disease patients undergoing hemodialysis not only helps to adjust their psychological state,but also improves their treatment compliance,leading to a comprehensive improvement in their quality of life.