中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (08): 573-576.doi: 10.3969/j.issn.1671-4091.2018.08.017

• 护理研究 • 上一篇    

医护一体化管理模式在血液透析高磷血症患者中的效果

刘司南1,陈林1   

  1. 1.四川大学华西医院血液透析中心
  • 收稿日期:2018-01-02 修回日期:2018-05-24 出版日期:2018-08-12 发布日期:2018-08-12
  • 通讯作者: 刘司南 hxxuetou@163.com E-mail:664835568@qq.com

Effects of integration of medical-nursing care on hemodialysis patients with hyperphosphatemia

  • Received:2018-01-02 Revised:2018-05-24 Online:2018-08-12 Published:2018-08-12

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摘要： 【摘要】目的 探讨医护一体化管理模式对提高血液透析高磷血症(血磷＞1.78mmol/L)患者健康管理知识与降低血磷指标的效果。方法采用完全随机对照研究设计，将80例血液透析高磷血症患者随机分为对照组和干预组，对照组采用护士主导的常规健康教育，干预组成立医护一体化专项管理小组，制定医护一体化管理流程，共同参与学习培训，建立关键环节治疗指标，进行持续质量改进。干预时间持续6个月。结果 干预组患者实施医护一体化管理后血磷指标为 (1.80 ± 0.16)mmol/L，低于对照组的(2.06 ± 0.15) mmol/L，差异具有统计学意义(t = 7.498，P＜0.001)；干预组的疾病知识得分(94.90 ± 1.45 比92.78 ± 1.46，t =6.156，P＜0.001)、饮食知识得分(93.53±1.48 比92.15±1.33，t=3.486，P＜0.001)、服药知识得分(93.90 ± 1.39 比92.45±1.28，t=4.853，P＜0.001)，运动规律知识得分(92.20±1.22 比91.43±1.30，t=2.732, P=0.008)均显著高于对照组，差异均具有统计学意义。结论医护一体化管理有利于提高血液透析高磷血症患者的健康管理知识，控制血磷指标，值得临床进一步推广。

关键词: 医护一体化, 血液透析, 高磷血症

Abstract: 【Abstract】Purpose To explore the effects of integration of medical- nursing care on health- related knowledge and serum phosphorus in hemodialysis patients with hyperphosphatemia. Methods This study used a randomized controlled trial with 80 cases randomized into two groups. Results Serum phosphorus of the patients in the intervention group was 1.80±0.16 mmol/L, which was lower than that of the control group (2.06±0.15 mmol/L), and the difference was statistically significant (t=7.498 P＜0.001). In patients in the intervention group, the scores of disease knowledge (94.90 ± 1.45 vs. 92.78 ± 1.46, t=6.156, P＜0.001), diet knowledge (93.53±1.48 vs. 92.15±1.33, t=3.486, P＜0.001), medicine knowledge about hyperphosphatemia (93.90±1.39 vs. 92.45±1.28, t=4.853, P＜0.001), and sports knowledge (92.20±1.22 vs. 91.43±1.30, t=2.732, P=0.008) were higher as compared with those in patients in the control group. Conclusions Integration of medical-nursing care can improve health-related knowledge and reduce serum phosphorus in hemodialysis patients with hyperphosphatemia.

Key words: Integration of medical-nursing care, Hemodialysis, Hyperphosphatemia