中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (03): 213-216.doi: 10.3969/j.issn.1671-4091.2018.03.016

• 护理研究 • 上一篇    

协同护理模式在老年透析患者中的应用效果

田瑞杰1, 李星2,袁媛1,陈春燕1,郝莉1,刘章锁1   

  1. 郑州大学第一附属医院1肾脏内科2护理部
  • 收稿日期:2017-06-26 修回日期:2017-11-07 出版日期:2018-03-12 发布日期:2018-03-12
  • 通讯作者: 李星 Lixing57316@126.com E-mail:355330920@qq.com

The effects of collaborative care model on self-care ability and compliance in elderly patients with hemodialysis

  • Received:2017-06-26 Revised:2017-11-07 Online:2018-03-12 Published:2018-03-12

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摘要： 【摘要】目的评价协同护理模式在老年血液透析患者中的应用效果。方法选取2014 年1 月～2015 年6 月老年透析患者64 例，随机分为协同护理组(干预组)32 例和常规教育组(对照组)32 例，干预6个月后，比较干预组患者自我护理能力和遵医行为与对照组的差异。结果干预后，干预组患者自我护理能力优于对照组(t=3.254, P＜0.001)；遵医行为中除遵守透析方案外，在遵医嘱服药(χ²=19.474，P＜0.001)、液体摄入依从(χ²=6.846,P=0.022)、保护血管通路(χ²=12.674，P＜0.001)、自我监测(χ²=5.024，P =0.035)方面行为得分高于对照组，差异均有统计学意义。结论以协同护理模式为理论基础设计干预方案可提高老年透析患者的自我护理能力和遵医行为。

关键词: 老年患者, 肾透析, 自我护理能力, 遵医行为

Abstract: 【Abstract】Objective To explore the effects of collaborative care model on elderly patients with hemodialysis (HD). Methods A total of 64 elderly HD patients were randomly divided into two groups, the intervention group (n=32), in which patients were treated with collaborative care model and the control group (n=
32), in which patients were treated with routine care procedure. The scores of self-care ability and compliance with medical treatment were compared after the intervention for 6 months between the two groups. Results After the intervention for 6 months, the mean score of self-care ability was higher in intervention group than in control group (P<0.001), and the scores of compliance were also higher in intervention group than in control group (P<0.001～0.035) except the score of compliance with dialysis protocols, which had no statistical significance between the two groups. Conclusion The collaborative care model can improve the self- care ability and compliance with medical treatment in elderly HD patients.

Key words: Elderly patients, Hemodialysis, Self-care ability, compliance