应用行为分阶段转变理论模式干预血液透析患者容量控制的效果观察

Study on the Effect ofTranstheoretical Model Intervention in Volume Control of Hemodialysis Patients

目的:应用行为分阶段转变理论对血液透析初期患者进行容量控制干预,观察分析干预后容量状况和相关监测结果,如体重、血压、超滤量、血清白蛋白等的改变,为探索血液透析患者容量控制有效模式积累经验。方法:50名血液透析初期患者作为研究对象,用自行设计的容量控制健康问卷进行调查,同时实施干预措施,随访3个月,对其容量状况及相关监测指标进行比较,并进行统计分析。结果:干预后血液透析初期患者容量控制水平明显提高,超滤量明显降低,水肿的发生率下降,体重、血压控制稳定,血清白蛋白升高,营养状况改善。结论:应用行为分阶段转变理论模式干预血液透析初期患者容量控制,可有效改善患者在透析初期容量控制状况。

Objective: Through using transtheoretical model (TTM) in volume control of hemodialysis patients, the volume status and its related physical examination result like change of weight, blood pressure, ultrafiltration volume, serum albumin (Alb) and so on were analyzed, accumulating the experience of exploring the effect model to control volume of hemodialysis patients. Methods: In this study, 60 initial hemodialysis patients were selected to complete questionnaire and implement intervention;after 3-month follow-up, the volume status and the related observation results were compared with those before the intervention. Results: After intervention, the level of volume control was obviously improved;the ultrafiltration volume and incidence of edema significantly decreased;the weight and blood pressure of patients were well controlled;the level of Alb was improved. Conclusion: Using transtheoretical model in volume control of hemodialysis can effectively improve the volume control of initial hemodialysis patients.