中国血液净化

中国血液净化 ›› 2022, Vol. 21 ›› Issue (06): 456-460.doi: 10.3969/j.issn.1671-4091.2022.06.017

• 护理研究 • 上一篇    下一篇

决策辅助在终末期肾病患者透析方式选择中的应用

王晓星   张晓雅   苗金红   王看看   雷雨田   岳晓红   王 沛   

  1. 郑州大学第一附属医院 1血液净化中心 2肾内科
  • 收稿日期:2021-09-24 修回日期:2022-03-11 出版日期:2022-06-12 发布日期:2022-06-12
  • 通讯作者: 苗金红 15703928658@139.com E-mail:15703928658@139.com
  • 基金资助:
    河南省高等学校重点科研项目(20A320083)

Application of the decision aid protocol for choice of dialysis method in patients with end stage renal disease

  • Received:2021-09-24 Revised:2022-03-11 Online:2022-06-12 Published:2022-06-12
  • Contact: MIAO Jin-hong 15703928658@139.com E-mail:15703928658@139.com

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摘要： 探讨终末期肾病患者透析方式决策辅助方案在终末期肾病患者中的应用效果。 方法  选取2020年7月～12月于郑州大学第一附属医院肾内科入院拟行透析治疗的终末期肾病患者作为研究对象，采用抽签法随机将于肾内科一病区入院的50名患者作为对照组，于肾内科五病区入院的48名患者作为干预组。对照组接受常规护理，干预组在常规护理基础之上接受透析方式决策辅助方案的干预。 结果  干预组实际参与治疗决策程度高于对照组(t=16.007,P＜0.001)；干预组决策准备度总得分显著高于对照组(t=10.069,P＜0.001)；干预组决策满意度总分显著高于对照组(t=16.713,P＜0.001)。 结论  终末期肾病患者透析方式决策辅助方案可有效改善患者实际参与治疗决策程度；提高患者决策准备度和满意度。

关键词: 终末期肾病, 透析方式, 决策辅助, 参与度, 满意度

Abstract: Objective To investigate the application of the decision aid protocol for choice of dialysis method in patients with end stage renal disease (ESRD).  Methods   The ESRD patients admitted to the dialysis center of our hospital from July to December 2020 were enrolled in this study. Fifty ESRD patients hospitalized in the First Nephrology Ward were randomly recruited as the control group, and 48 ESRD patients admitted in the Fifth Nephrology Ward were randomly enrolled as the intervention group. The control group only received routine nursing, while the intervention group received the choice of dialysis method by the decision aid protocol in addition to routine nursing.  Results  The intervention group actually participated more in treatment decision than the control group (t=16.007, P=0.000). The decision preparation was significantly higher in the intervention group than in the control group (t=10.069, P=0.000). The decision satisfaction was significantly higher in the intervention group than in the control group (t=16.713, P＝0.000).   Conclusion  The choice of dialysis method by the decision aid protocol can effectively improve the actual degree of patient participation, the decision-making preparation and patient satisfaction.

Key words: End stage renal disease, Dialysis method, Decision making, Participation, Patient satisfaction

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