目的 评价基于实施科学理论干预模式对血液透析患者自我管理行为、自我效能及健康状况的影响.方法 选取2022年4月至2023年4月泰安八十八医院行维持性血液透析患者214例为研究对象,按照随机数表法将其分为对照组与观察组,每组各107例.对照组接受常规临床及护理干预,观察组运用基于实施科学理论干预模式干预.干预6个月后对患者自我管理行为、自我效能、健康状况及对护理服务满意度进行评价.结果 有202例患者完成本研究,其中观察组100例,失访率为6.54％;对照组102例,失访率为4.67％.观察组患者问题解决、执行自我护理得分及自我管理行为量表总分高于对照组,差异有统计学意义(P＜0.05);观察组患者症状管理得分、慢性病自我效能量表总分高于对照组,差异有统计学意义(P＜0.05);观察组患者一般健康、身体机能、身体疼痛、心理健康、生理总健康、心理总健康及健康状况总分高于对照组,差异有统计学意义(P＜0.05);观察组患者对护理服务满意度得分高于对照组,差异有统计学意义(P＜0.05).结论 基于实施科学理论干预模式不仅可以有效提升血液透析患者的健康管理能力、生活质量,而且可以进一步提高患者对护理人员的服务满意度.
Objective To evaluate the impact of intervention mode based on implementing scientific theory on self-management behavior,self-efficacy and health status of patients undergoing blood dialysis.Methods A total of 214 patients undergoing maintenance blood dialysis in Taian 88th Hospital from April 2022 to April 2023 were selected as the research object,and they were divided into the control group(n=107)and the observation group(n=107)by random number table method.The control group was treated with conventional clinical and nursing intervention,while the observation group was treated with the intervention mode based on implementing scientific theory.After 6 months of intervention,the patients'self-management behavior,self-efficacy,health status and nursing service satisfaction were evaluated.Results There were 202 patients who completed this study.100 patients were in the observation group,with a lost follow-up rate of 6.54％.Another 102 patients were in the control group,with a lost follow-up rate of 4.67％.The problem-solving,executive self-care scores and total self-management behavior scale scores of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P＜0.05).Symptom management scores and total scores of chronic disease self-efficacy scale of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P＜0.05).The scores of general health,physical function,physical pain,mental health,total physical health,total mental health and total health status of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P＜0.05).The score of patients'satisfaction with nurses'services in the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion The intervention mode based on implementing scientific theory can not only effectively improve the health management ability and quality of life of patients undergoing blood dialysis,but also further improve their service satisfaction to nursing staff.
宋娜;王菊;李云霞;陈晓玲;左红;倪西泉;王仲甜;石丽君
山东省泰安八十八医院肾内科透析室,山东泰安 271000山东省泰安八十八医院护理部,山东泰安 271000
临床医学
实施科学;干预模式;血液透析;自我管理;健康管理
Implementing science;Intervention mode;Blood dialysis;Self-management;Health management
《中国医药科学》 2024 (012)
77-81 / 5
山东省泰安市科技创新发展项目(政策引导类)(2022NS269).
10.20116/j.issn2095-0616.2024.12.19
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