[1]徐娇瑾.健康教育导向的循证护理干预对尿毒症血液透析患者血管通路依从性和生活质量的影响[J].医学信息,2022,35(01):190-192.[doi:10.3969/j.issn.1006-1959.2022.01.049]
 XU Jiao-jin.Effect of Health Education-oriented Evidence-based Nursing Intervention on Vascular Pathway Compliance and Quality of Life in Uremic Hemodialysis Patients[J].Medical Information,2022,35(01):190-192.[doi:10.3969/j.issn.1006-1959.2022.01.049]
点击复制

健康教育导向的循证护理干预对尿毒症血液透析患者血管通路依从性和生活质量的影响()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年01期
页码:
190-192
栏目:
护理研究
出版日期:
2022-01-01

文章信息/Info

Title:
Effect of Health Education-oriented Evidence-based Nursing Intervention on Vascular Pathway Compliance and Quality of Life in Uremic Hemodialysis Patients
文章编号:
1006-1959(2022)01-0190-03
作者:
徐娇瑾
(苏州市吴中人民医院肾内科,江苏 苏州 215128)
Author(s):
XU Jiao-jin
(Department of Nephrology,Suzhou Wuzhong People’s Hospital,Suzhou 215128,Jiangsu,China)
关键词:
尿毒症血液透析循证护理健康教育导向血管通路依从性
Keywords:
UremiaHemodialysisEvidence-based careHealth education orientationVascular pathway compliance
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.01.049
文献标志码:
A
摘要:
目的 探讨健康教育导向的循证护理干预对尿毒症血液透析患者血管通路依从性和生活质量的影响。方法 选择2018年5月-2020年8月我院收治的52例尿毒症血液透析患者,按照随机数字表法分为干预组和参照组,每组26例。参照组给予常规护理干预,干预组在参照组基础上给予健康教育导向的循证护理干预,比较两组疾病知晓情况、血管通路依从性及生活质量。结果 干预组疾病认知、血液透析认知、自我管理、生活管理、社会交往评分高于参照组,差异有统计学意义(P<0.05);干预组血管通路总依从率高于参照组,差异有统计学意义(P<0.05);干预组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分高于参照组,差异有统计学意义(P<0.05)。结论 健康教育导向的循证护理干预可提升尿毒症血液透析患者对疾病的认知,增强血管通路依从性,改善患者生活质量。
Abstract:
Objective To explore the impact of health education-oriented evidence-based nursing intervention on vascular access compliance and quality of life in uremic hemodialysis patients.Methods A total of 52 uremic hemodialysis patients admitted to our hospital from May 2018 to August 2020 were selected and divided into intervention group and reference group according to random number table method, with 26 cases in each group. The reference group was given routine nursing intervention, and the intervention group was given health education oriented evidence-based nursing intervention on the basis of the reference group. The disease awareness, vascular access compliance and quality of life were compared between the two groups.Results The scores of disease cognition, hemodialysis cognition, self-management, life management and social interaction in the intervention group were higher than those in the reference group, and the difference was statistically significant (P<0.05). The total compliance rate of vascular pathway in the intervention group was higher than that in the reference group, and the difference was statistically significant (P<0.05). The scores of physiological function, physiological function, body pain, general health, vitality, social function, emotional function and mental health in the intervention group were higher than those in the reference group, and the difference was statistically significant (P<0.05).Conclusion Health education-oriented evidence-based nursing intervention can improve the cognition of disease, enhance the compliance of vascular pathway and improve the quality of life of uremic hemodialysis patients.

参考文献/References:

[1]刘佩,吴改红,张沛,等.尿毒症血液透析患者的营养状况及其罹患肺部感染的危险因素[J].海南医学,2020,31(9):1121-1124. [2]Jankowska-Polańska B,Fal AM,Uchmanowicz I,et al.Influence of organized diabetic education on self-control and quality of life of patients with type 2 diabetes[J].International Journal of Diabetes in Developing Countries,2015,35(2):79-87.[3]张永霞.基于护理程序的整体护理干预在维持性血液透析尿毒症患者中的应用[J].河南医学研究,2020,29(8):1535-1537.[4]李碧芬,甘菊芳,徐冠雄.不同血液净化护理模式对尿毒症患者净化效果及生活质量的影响探析[J].现代诊断与治疗,2019,30(11):1949-1951.[5]姚娬斌,沈良兰,沈燕,等.TnI、hs-CRP、NT-proBNP在诊断尿毒症患者心肌损害中的临床意义研究[J].海南医学院学报,2020,26(16):1232-1236.[6]郑玉婷.循证护理对血液透析导管留置患者血管通路维护依从性及预防不良情况的影响[J].国际护理学杂志,2020,39(16):2910-2913.[7]蔡淑兰,于明忠,韩秀红,等.循证护理对尿毒症血液透析患者营养状况、心理及生活质量的影响[J].中国煤炭工业医学杂志,2018,21(1):104-107. [8]沈华娟,许秀君,董永泽,等.血液透析患者导管相关性血流感染影响因素[J].中华医院感染学杂志,2020,30(20):3104-3107. [9]魏家宁,周黎强.精细化管理在血液透析患者深静脉留置导管维护中的作用[J].临床肾脏病杂志,2017,17(5):287-290.[10]杨盼盼,卢丹.健康教育对尿毒症血液透析患者生存质量的影响[J].中国基层医药,2015(24):3814-3816,3817. [11]刘艳秋.循证护理对尿毒症血液透析患者心理健康和生活质量的影响分析[J].中国实用医药,2016,11(19):259-259,260.[12]Vanden Wyngaert K,Van Craenenbroeck AH,Holvoet E,et al.Composite Uremic Load and Physical Performance in Hemodialysis Patients: A Cross-Sectional Study[J].Toxins (Basel),2020,12(2):135.[13]郝宝俊.5E康复护理方案改善尿毒症血液透析患者水钠摄取不合理及睡眠状况的研究[J].医学信息,2020,33(24):176-177.[14] 陈晓敏,谭超,林芷珊,等.循证护理对血液透析患者肾功能及营养状况的影响[J].黑龙江医学,2020,44,425(3):146-147.[15]刘丽丽.基于循证理念的预见性护理在血液透析导管相关性感染中的预防研究[J].黑龙江中医药,2020,49(1):231-232.

相似文献/References:

[1]肖一红.组合型人工肾技术预防血液透析中低血压的效果观察[J].医学信息,2018,31(03):185.[doi:10.3969/j.issn.1006-1959.2018.03.070]
 XIAO Yi-hong.Effect of Combined Artificial Renal Technique in Preventing Hypotension in Hemodialysis[J].Medical Information,2018,31(01):185.[doi:10.3969/j.issn.1006-1959.2018.03.070]
[2]邹 鑫,刘秀娟,余燕燕.血液透析对MHD患者血清FGF-23水平与 钙磷代谢的影响[J].医学信息,2018,31(09):119.[doi:10.3969/j.issn.1006-1959.2018.09.036]
 ZOU Xin,LIU Xiu-juan,YU Yan-yan.Effect of Hemodialysis on Serum FGF-23 Level and Calcium and Phosphorus Metabolism in MHD Patients[J].Medical Information,2018,31(01):119.[doi:10.3969/j.issn.1006-1959.2018.09.036]
[3]王允彦.西那卡塞对维持性血液透析继发性甲状旁腺功能亢进患者FGF-23的影响[J].医学信息,2018,31(13):88.[doi:10.3969/j.issn.1006-1959.2018.13.025]
 WANG Yun-yan.Effect of Cinacalcet on FGF-23 in Patients with Secondary Hyperparathyroidism during Maintenance Hemodialysis[J].Medical Information,2018,31(01):88.[doi:10.3969/j.issn.1006-1959.2018.13.025]
[4]方海东,李 荣.血液透析滤过联合血液透析治疗慢性肾功能衰竭的效果观察[J].医学信息,2019,32(02):129.[doi:10.3969/j.issn.1006-1959.2019.02.037]
 FANG Hai-dong,LI Rong.Effect of Hemodiafiltration Combined with Hemodialysis on Chronic Renal Failure[J].Medical Information,2019,32(01):129.[doi:10.3969/j.issn.1006-1959.2019.02.037]
[5]蒋红利,刘 华,史珂慧,等.陕西省县级医院透析室建设项目培训效果评价[J].医学信息,2018,31(19):120.[doi:10.3969/j.issn.1006-1959.2018.19.036]
 JIANG Hong-li,LIU Hua,SHI Ke-hui,et al.Evaluation on Training Effect of Dialysis Room Construction Project in County Hospitals in Shaanxi Province[J].Medical Information,2018,31(01):120.[doi:10.3969/j.issn.1006-1959.2018.19.036]
[6]王苏杭,董春锋.维持性血液透析患者应用palindrome导管置换失permcath导管分析[J].医学信息,2019,32(06):117.[doi:10.3969/j.issn.1006-1959.2019.06.036]
 WANG Su-hang,DONG Chun-feng.Analysis of Permcath Catheters in Patients with Maintenance Hemodialysis Using Palindrome Catheter Replacement[J].Medical Information,2019,32(01):117.[doi:10.3969/j.issn.1006-1959.2019.06.036]
[7]张民霞.血液灌流联合血液透析治疗肾功能衰竭难治性高血压的效果[J].医学信息,2019,32(15):109.[doi:10.3969/j.issn.1006-1959.2019.15.035]
 ZHANG Min-xia.Effect of Hemoperfusion Combined with Hemodialysis on Refractory Hypertension with Renal Failure[J].Medical Information,2019,32(01):109.[doi:10.3969/j.issn.1006-1959.2019.15.035]
[8]谢 华,周毅峰,甘晓庆,等.血液透析专用中心静脉导管封管液的研究[J].医学信息,2019,32(18):48.[doi:10.3969/j.issn.1006-1959.2019.18.016]
 XIE Hua,ZHOU Yi-feng,GAN Xiao-qing,et al.Research on Central Venous Catheter Sealing Fluid for Hemodialysis[J].Medical Information,2019,32(01):48.[doi:10.3969/j.issn.1006-1959.2019.18.016]
[9]喻学娜.协同护理对终末期肾脏病血液透析患者自我护理能力及治疗依从性的影响[J].医学信息,2019,32(20):183.[doi:10.3969/j.issn.1006-1959.2019.20.059]
 YU Xue-na.Effect of Collaborative Nursing on Self-care Ability and Treatment Compliance of Hemodialysis Patients with End-stage Renal Disease[J].Medical Information,2019,32(01):183.[doi:10.3969/j.issn.1006-1959.2019.20.059]
[10]魏昌林.血液透析联合血液灌流在终末期肾病患者治疗中的应用[J].医学信息,2019,32(13):109.[doi:10.3969/j.issn.1006-1959.2019.13.032]
 WEI Chang-lin.Application of Hemodialysis Combined with Blood Perfusion in the Treatment of Patients with End-stage Renal Disease[J].Medical Information,2019,32(01):109.[doi:10.3969/j.issn.1006-1959.2019.13.032]
[11]钟瑜辉.血液透析联合血液灌流治疗尿毒症的效果[J].医学信息,2019,32(21):108.[doi:10.3969/j.issn.1006-1959.2019.21.034]
 ZHONG Yu-hui.Effect of Hemodialysis Combined with Blood Perfusion on Uremia[J].Medical Information,2019,32(01):108.[doi:10.3969/j.issn.1006-1959.2019.21.034]
[12]程 坤.醋酸钙联合碳酸镧治疗尿毒症血液透析高磷血症的疗效[J].医学信息,2021,34(18):155.[doi:10.3969/j.issn.1006-1959.2021.18.042]
 CHENG Kun.Efficacy of Calcium Acetate Combined with Lanthanum Carbonate in the Treatment of Uremic Hemodialysis Hyperphosphatemia[J].Medical Information,2021,34(01):155.[doi:10.3969/j.issn.1006-1959.2021.18.042]
[13]王艳霞.中药灌肠对尿毒症血液透析患者便秘、食欲减退及呕吐等不良反应的影响[J].医学信息,2022,35(17):88.[doi:10.3969/j.issn.1006-1959.2022.17.023]
 WANG Yan-xia.Effect of Traditional Chinese Herb Enema on Adverse Reactions of Constipation,Loss of Appetite and Vomiting in Uremic Hemodialysis Patients[J].Medical Information,2022,35(01):88.[doi:10.3969/j.issn.1006-1959.2022.17.023]

更新日期/Last Update: 1900-01-01