Objective:To explore the impact of a nurse-led chronic disease management model on the quality of care and satisfaction of maintenance hemodialysis patients.Methods:72 patients who received maintenance hemodialysis(MH...Objective:To explore the impact of a nurse-led chronic disease management model on the quality of care and satisfaction of maintenance hemodialysis patients.Methods:72 patients who received maintenance hemodialysis(MHD)from June 2021 to March 2022 were selected to undergo the nurse-led chronic disease management model.The hemodialysis indexes,nutritional status,and the occurrence of adverse events were assessed after 24 weeks of the intervention,and patients’satisfaction was investigated and analyzed.Results:Comparing pre-intervention and after 24 weeks of intervention,urea reduction rate and urea clearance were improved but not statistically different(P>0.05),butβ2-microglobulin was significantly reduced compared with pre-intervention(P<0.05);after 24 weeks of intervention,the effect of decreasing blood calcium,parathyroid hormone,and potassium levels was not obvious(P>0.05),and the level of blood phosphorus decreased significantly compared with pre-intervention(P<0.01),albumin and hemoglobin levels were increased and better than before intervention(P<0.05);after 24 weeks of intervention,the incidence of intradialytic hypotension and hypertension was lower than before intervention(P<0.05),and the total incidence of complications was significantly lower than before intervention(P<0.01);there was no significant difference in the Self-Depression Scale scores after 24 weeks of intervention(P>0.05),and Self-Anxiety Scale scores were significantly lower and better than before intervention(P<0.01).Patient satisfaction was greatly improved,with a statistically significant difference(P<0.05).Conclusion:The chronic disease management intervention model led by specialized nurses is conducive to improving the psychological state and nutritional status of dialysis patients,enhancing the adequacy of dialysis for patients,reducing the incidence of related complications,and ultimately achieving the purpose of improving the quality of life of patients,which has significant clinical value.展开更多
目的:探讨基层医疗机构慢病管理线.上药学服务模式。方法:研究主要针对特殊门诊糖尿病患者,以线上就诊开药、物流运输、线上科普、反复复提醒用药及自我血糖监测(Self-monitoring of blood glucose,SMBG)等医药服务内容为干预方式,统计...目的:探讨基层医疗机构慢病管理线.上药学服务模式。方法:研究主要针对特殊门诊糖尿病患者,以线上就诊开药、物流运输、线上科普、反复复提醒用药及自我血糖监测(Self-monitoring of blood glucose,SMBG)等医药服务内容为干预方式,统计干预前后Morisky服药依从性得分,SMBG频率,就诊过程产生的费用及消耗时间等相关数据,最终进行比较分析。结果:患者依从性(P<0.0001)及SMBG频率(P<0.0001)显著提升,同时患者就诊过程所需时间(P<0.05)及费用(P<0.05)也呈降低趋势。结论:线上医药服务模式有利于保障药品供应、控制患者病情、降低额外就诊花费及时间,同时避免潜在感染风险。展开更多
基金Jiangsu Pharmaceutical Vocational College Off-Campus Teaching Base Research and Development Special Projects(20229193)。
文摘Objective:To explore the impact of a nurse-led chronic disease management model on the quality of care and satisfaction of maintenance hemodialysis patients.Methods:72 patients who received maintenance hemodialysis(MHD)from June 2021 to March 2022 were selected to undergo the nurse-led chronic disease management model.The hemodialysis indexes,nutritional status,and the occurrence of adverse events were assessed after 24 weeks of the intervention,and patients’satisfaction was investigated and analyzed.Results:Comparing pre-intervention and after 24 weeks of intervention,urea reduction rate and urea clearance were improved but not statistically different(P>0.05),butβ2-microglobulin was significantly reduced compared with pre-intervention(P<0.05);after 24 weeks of intervention,the effect of decreasing blood calcium,parathyroid hormone,and potassium levels was not obvious(P>0.05),and the level of blood phosphorus decreased significantly compared with pre-intervention(P<0.01),albumin and hemoglobin levels were increased and better than before intervention(P<0.05);after 24 weeks of intervention,the incidence of intradialytic hypotension and hypertension was lower than before intervention(P<0.05),and the total incidence of complications was significantly lower than before intervention(P<0.01);there was no significant difference in the Self-Depression Scale scores after 24 weeks of intervention(P>0.05),and Self-Anxiety Scale scores were significantly lower and better than before intervention(P<0.01).Patient satisfaction was greatly improved,with a statistically significant difference(P<0.05).Conclusion:The chronic disease management intervention model led by specialized nurses is conducive to improving the psychological state and nutritional status of dialysis patients,enhancing the adequacy of dialysis for patients,reducing the incidence of related complications,and ultimately achieving the purpose of improving the quality of life of patients,which has significant clinical value.
文摘目的:探讨基层医疗机构慢病管理线.上药学服务模式。方法:研究主要针对特殊门诊糖尿病患者,以线上就诊开药、物流运输、线上科普、反复复提醒用药及自我血糖监测(Self-monitoring of blood glucose,SMBG)等医药服务内容为干预方式,统计干预前后Morisky服药依从性得分,SMBG频率,就诊过程产生的费用及消耗时间等相关数据,最终进行比较分析。结果:患者依从性(P<0.0001)及SMBG频率(P<0.0001)显著提升,同时患者就诊过程所需时间(P<0.05)及费用(P<0.05)也呈降低趋势。结论:线上医药服务模式有利于保障药品供应、控制患者病情、降低额外就诊花费及时间,同时避免潜在感染风险。
