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目的:探讨延续性护理对持续性非卧床腹膜透析患者自我效能及并发症风险的影响。方法:纳入我院肾脏内科2005年12月至2015年12月接受的持续性非卧床腹膜透析患者160例为对象,按所接受护理方案分组,观察组80例接受延续性护理,对照组80例采用常规护理。采用肾脏病生活质量量表(KDQOL)调查患者出院前1 d、出院6周、12周时生活质量,采用自我管理能力问卷(SMBQ)调查患者出院12周时自我管理能力,采用一般自我效能量表(GSES)调查患者出院前1 d、出院12周时自我效能,同时统计患者腹膜炎及再入院发生率以评价并发症风险。结果:观察组出院6周、12周时躯体健康、症状与不适、肾脏疾病的影响评分,出院12周时心理健康评分均明显高于对照组,上述差异有统计学意义(P<0.05);出院12周时观察组SMBQ问卷透析行为和行为依从性维度得分明显高于对照组,差异有统计学意义(P<0.05);出院12周时观察组GSES量表得分明显高于对照组,差异有统计学意义(P<0.05);观察组出院12周内再入院率明显低于对照组,差异有统计学意义(P<0.05)。结论:延续性护理能够有效提升患者自我效能、降低并发症风险。
Objective: To investigate the effect of continuous nursing on self-efficacy and the risk of complications in patients with continuous ambulatory peritoneal dialysis. Methods: One hundred and sixty patients undergoing continuous ambulatory peritoneal dialysis received from December 2005 to December 2015 in our department were enrolled in the nursing program. 80 cases in the observation group received continuous nursing and 80 cases in the control group Use regular care. The KDQOL was used to investigate the quality of life at 1 d before discharge, 6 weeks and 12 weeks after discharge, and self-management ability was investigated at 12 weeks after discharge by using self-management questionnaire (SMBQ). The general self-efficacy The patients (GSES) were surveyed for self-efficacy 1 d before discharge and 12 weeks after discharge. The incidence of peritonitis and re-admission was calculated to assess the risk of complications. Results: The scores of physical health, symptom and discomfort, renal disease in the observation group after discharge for 6 weeks and 12 weeks were significantly higher than those in the control group at 12 weeks after discharge (P <0.05). At 12 weeks after discharge, scores of dialysis and behavioral compliance in the SMBQ questionnaire of the observation group were significantly higher than those of the control group (P <0.05), and the score of GSES in the observation group was significantly higher than that of the control group at 12 weeks after discharge (P <0.05). The rehospitalization rate in the observation group within 12 weeks after discharge was significantly lower than that in the control group (P <0.05). Conclusion: Continuous nursing can effectively improve patients’ self-efficacy and reduce the risk of complications.