协同护理模式在慢性肾功能衰竭患者中的应用效果-现代医学

协同护理模式在慢性肾功能衰竭患者中的应用效果

单位：东南大学附属中大医院肾内科, 江苏南京 210009

分类号：R473.5

出版年·卷·期（页码）：2017·36·第十一期（1676-1678）

摘要：

目的：探讨协同护理模式在慢性肾功能衰竭患者中的应用效果。方法：根据随机数字表法将160例慢性肾功能衰竭患者分成观察组和对照组，每组80例。对对照组患者按照慢性肾功能衰竭患者常规护理要求进行护理，对观察组患者在常规护理基础上联合协同护理模式，比较两组患者的自我护理能力（ESCA评分）、治疗依从性及患者满意度。结果：观察组护理后ESCA评分为（123.4±13.6）分，显著高于对照组的（108.4±12.3）分（P>0.05）；观察组治疗依从率为87.5%，显著高于对照组的61.3%（P>0.05）；观察组患者满意度97.5%，显著高于对照组的83.8%（P>0.05）。结论：协同护理模式可改善慢性肾功能衰竭患者自我护理能力，有助于提高患者的治疗依从性和患者的护理满意度。

Objective:To study the application of collaborative care model in patients with chronic renal failure. Methods:According to random number table method, 160 chronic renal failure patients were divided into observation group and control group, 80 cases in each. The conventional nursing care was used in the control group. On the basis of conventional nursing collaborative care model was implemented in the observation group. Self-care ability (ESCA score), treatment compliance and patient satisfaction were compared between the two groups. Results:After nursing, ESCA score of the observation group was 123.4±13.6, significantly higher than 108.4±12.3 of the control group (P>0.05); Treatment compliance rate of the observation group was 87.5%, significantly higher than 61.3% of the control group(P>0.05); Patients satisfaction of the observation group was 97.5%, significantly higher than 83.8% of the control group(P>0.05). Conclusion:Collaborative care model can improve the self-care ability of the patients with chronic renal failure, the therapeutic compliance and patients satisfaction toward nursing care.

参考文献：

[1] 李燕珍,郭碧娥,王家丽,等.浅谈全程护理干预对老年慢性肾衰竭病人治疗依从性的影响[J].当代医药论丛,2015(2):102-103.
[2] ZHANG L,WANG F,WANG L,et al.Prevalence of chronic kidney disease in China:a cross-sectional survey[J].Lancet,2012,379(9818):815-822.
[3] 赵虹.慢性肾功能衰竭及护理体会[J].中外健康文摘,2012(4):353-354.
[4] LOTT T F,BLAZEY M E,WEST M G.Patient participation in health care:an underused re source[J].Nurs Clin North Am,1992,27(1):61-76.
[5] ANEES M,HAMEED F,MUMTAZ A,et al.Dialysis-related factors affecting quality of life in patients on hemodialysis[J].Iran J Kidney Dis,2011,5(1):9-14.
[6] 马红梅.JCI评审标准在护理管理中的应用[J].天津护理,2012,20(4):266-267.
[7] 孙凯燕.全程护理干预对老年慢性肾衰竭病人治疗依从性的影响观察[J].中国实用医药,2015,12(10):222-223.
[8] 郭海燕.心内科护理工作为病人提供更好的护理服务[J].临床合理用药杂志,2011,18(4):114-115.
[9] BARAZ S,ZAREA K,DASHTBOZORGI B.Comparing the effect of two educational programs on the quality of life of hemodialysis patients in Iran[J].Iran Red Crescent Med J,2014,16(8):e19368.
[10] WANG K,WANG P,LIANG X H,et al.Cuffed-tunneled hemodialysis catheter survival and complications in pediatric patients:a single-center data analysis in China[J].Int J Clin Exp Med,2015,8(6):9765-9671.
[11] 王新,李丽,曲郁祓,等.协同家属护理管理模式对类风湿关节炎病人自我效能和生活质量的影响[J].中华现代护理杂志,2015,21(12):1401-1404.
[12] 雷延兰,罗玲,陈莉,等.协同护理模式对血液透析病人自我护理能力和透析治疗依从性的影响[J].中国血液净化,2016,15(1):58-62.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录