[1]梁宏丽.基于Omaha系统的延续性护理模式对维持性血液透析患者行为依从性和钙磷代谢的影响[J].医学信息,2020,33(23):164-165,171.[doi:10.3969/j.issn.1006-1959.2020.23.048]
　LIANG Hong-li.Influence of Omaha System-based Continuous Nursing Model on Behavior Compliance and Calcium and Phosphorus Metabolism of Maintenance Hemodialysis Patients[J].Medical Information,2020,33(23):164-165,171.[doi:10.3969/j.issn.1006-1959.2020.23.048]
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基于Omaha系统的延续性护理模式对维持性血液透析患者行为依从性和钙磷代谢的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年23期
页码:
164-165,171
栏目:
护理研究
出版日期:
2020-12-01

文章信息/Info

Title:
Influence of Omaha System-based Continuous Nursing Model on Behavior Compliance and Calcium and Phosphorus Metabolism of Maintenance Hemodialysis Patients
文章编号:
1006-1959（2020）23-0164-03
作者:
梁宏丽
（天津医科大学第二医院肾脏病血液净化科，天津 300211）
Author(s):
LIANG Hong-li
(Department of Nephrology and Blood Purification,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)
关键词:
Omaha系统; 延续性护理; 维持性血液透析; 依从性; 钙磷代谢
Keywords:
Omaha system; Continuous care; Maintenance hemodialysis; Compliance; Calcium and phosphorus metabolism
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2020.23.048
文献标志码:
A
摘要:
目的 分析基于Omaha系统的延续性护理模式对维持性血液透析患者行为依从性和钙磷代谢的影响。方法 选取2018年4月~2019年4月我院诊治的74例维持性血液透析患者为研究对象，采用随机数字表法分为对照组和观察组，各37例。对照组给予常规护理，观察组在常规护理基础上实施基于Omaha系统的延续性护理干预。比较两组护理后患者临床行为依从性（合理饮食、坚持透析治疗、情绪稳定、遵医嘱）、血清钙和磷水平、营养分级（营养正常、轻中度营养不良、重度营养不良）情况比较、血清肌酐（Scr）、血尿素氮（BUN）、尿素清除指数以及并发症发生情况。结果 观察组合理饮食、坚持透析治疗、情绪稳定、遵医嘱行为依从性评分均高于对照组（P＜0.05）；护理后观察组血清钙水平高于对照组，磷低于对照组（P＜0.05）；观察组营养正常、轻中度营养不良、重度营养不良比率与对照组比较，差异有统计学意义（P＜0.05）；观察组Scr、BUN均低于护理前，尿素清除指数高于对照组（P＜0.05）；观察组并发症发生率低于对照组（P＜0.05）。结论 基于Omaha系统的延续性护理干预维持性血液透析患者，有助于提高患者临床护理依从性，维持钙、磷平衡，改善透析充分性和营养状况，降低并发症发生率。
Abstract:
Objective To analyze the effect of Omaha-based continuous nursing model on behavior compliance and calcium and phosphorus metabolism in maintenance hemodialysis patients.Methods A total of 74 maintenance hemodialysis patients diagnosed and treated in our hospital from April 2018 to April 2019 were selected as the research objects, and were divided into a control group and an observation group using a random number table method, with 37 cases in each. The control group was given routine nursing care, and the observation group implemented continuous nursing intervention based on the Omaha system on the basis of routine nursing. Comparison of clinical behavior compliance (rational diet, adherence to dialysis treatment, emotional stability, compliance with doctor’s advice), serum calcium and phosphorus levels, and nutritional classification (normal nutrition, mild to moderate malnutrition, severe malnutrition) between the two groups after nursing, Serum creatinine (Scr), blood urea nitrogen (BUN), urea clearance index and complications.Results The observation group’s scores of reasonable diet, adherence to dialysis treatment, emotional stability, and compliance with doctor’s orders were higher than those of the control group(P<0.05);After nursing, the serum calcium level of the observation group was higher than that of the control group, and the phosphorus was lower than the control group(P＜0.05); Compared with the control group, the ratios of normal nutrition, mild to moderate malnutrition, and severe malnutrition in the observation group were significantly different (P<0.05); the Scr and BUN of the observation group were lower than those before nursing, and the urea clearance index was higher than that of the control group(P<0.05); the incidence of complications in the observation group was lower than that of the control group(P<0.05).Conclusion Continuous care intervention based on the Omaha system for maintenance hemodialysis patients can help improve patient compliance with clinical care, maintain calcium and phosphorus balance, improve dialysis adequacy and nutritional status, and reduce the incidence of complications.

参考文献/References:

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更新日期/Last Update: 1900-01-01