Chinese Journal of Blood Purification ›› 2023, Vol. 22 ›› Issue (02): 149-152.doi: 10.3969/j.issn.1671-4091.2023.02.016

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Analysis of the intervention mode under the theory of targeted management in acute renal failure patients on dialysis

ZHANG Dan, ZHANG Ying-ying, FU Chen   

  1. Department of Intensive Care Unit and 2Department of Nephrology, Beijing Jishuitan Hospital, Beijing 100035, China
  • Received:2022-03-08 Revised:2022-11-10 Online:2023-02-12 Published:2023-02-12
  • Contact: 100035 北京,北京积水潭医院1重症医学科 E-mail:zd19830419@sina.com

Abstract: Objective  To explore the value of the intervention mode under the theory of target management in dialysis patients with acute renal failure.  Methods  Using the random number table method, 80 dialysis patients with severe acute renal failure treated in our hospital from 2018 to 2021 were divided into observation group (40 cases) and control group (40 cases). The control group adopted the routine intervention mode, and the observation group adopted the nursing intervention mode under the target management theory. The changes of self-perception health score, self-management ability and complications before and after intervention were compared between the two groups.  Results  After the intervention, the scores of acute physiology and chronic health score (APACHE Ⅱ) and self-perceived burden scale (SPB) were lower in the observation group than in the control group (t=6.275, P=0.001; t=8.064, P=0.001). The self-management abilities (physical activity  t=7.236, P<0.001; treatment behavior  t=8.841, P<0.001; social psychological activity t=8.522, P<0.001; eating behavior t=5.699, P<0.001) were higher in the observation group than in the control group.  Conclusion  The nursing intervention model based on the target management theory can effectively improve the health status and self-perception, and increase the self-management ability in the patients with acute renal failure in intensive care unit. This nursing intervention mode is worthy of clinical promotion and use.

Key words: Severe acute renal failure, Dialysis, Target management theory, Nursing intervention model

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