中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
15期
1760-1762
,共3页
护理%焦虑%抑郁%生活质量%血液透析%以问题为导向的管理模式
護理%焦慮%抑鬱%生活質量%血液透析%以問題為導嚮的管理模式
호리%초필%억욱%생활질량%혈액투석%이문제위도향적관리모식
Nursing%Anxiety%Depression%Quality of life%Hemodialysis%Problem-based management model
目的：探讨以问题为导向的管理模式在血液透析患者护理中的应用效果。方法将2012年9月-2013年4月收治的92例血液透析患者按照1∶1比例随机分为两组，每组46例，对照组给予常规护理，观察组给予以问题为导向的管理模式运用1个月。采用抑郁自评量表（ SDS）、焦虑自评量表（SAS）及简明健康测量量表（SF-36）对进行评价。结果干预前两组患者SAS、SDS、SF-36各维度评分比较差异均无统计学意义（P＞0．05）；干预后，观察组患者SAS、SDS评分分别为（36．67±6．11），（40．69±6．76）分，均低于对照组（45．02±6．24），（45．96±6．87）分，差异有统计学意义（t 值分别为5．462，6．211；P＜0．05）；观察组患者SF-36各维度评分优于对照组和干预前，差异均有统计学意义（ P＜0．05）；观察组患者并发症发生率为10．87％，低于对照组的32．61％，差异有统计学意义（χ2＝3．619，P＝0．024）。结论通过以问题为导向的护理管理模式，可显著提高血液透析患者临床疗效，改善患者预后，提高其生活质量，值得临床广泛推广和应用。
目的：探討以問題為導嚮的管理模式在血液透析患者護理中的應用效果。方法將2012年9月-2013年4月收治的92例血液透析患者按照1∶1比例隨機分為兩組，每組46例，對照組給予常規護理，觀察組給予以問題為導嚮的管理模式運用1箇月。採用抑鬱自評量錶（ SDS）、焦慮自評量錶（SAS）及簡明健康測量量錶（SF-36）對進行評價。結果榦預前兩組患者SAS、SDS、SF-36各維度評分比較差異均無統計學意義（P＞0．05）；榦預後，觀察組患者SAS、SDS評分分彆為（36．67±6．11），（40．69±6．76）分，均低于對照組（45．02±6．24），（45．96±6．87）分，差異有統計學意義（t 值分彆為5．462，6．211；P＜0．05）；觀察組患者SF-36各維度評分優于對照組和榦預前，差異均有統計學意義（ P＜0．05）；觀察組患者併髮癥髮生率為10．87％，低于對照組的32．61％，差異有統計學意義（χ2＝3．619，P＝0．024）。結論通過以問題為導嚮的護理管理模式，可顯著提高血液透析患者臨床療效，改善患者預後，提高其生活質量，值得臨床廣汎推廣和應用。
목적：탐토이문제위도향적관리모식재혈액투석환자호리중적응용효과。방법장2012년9월-2013년4월수치적92례혈액투석환자안조1∶1비례수궤분위량조，매조46례，대조조급여상규호리，관찰조급여이문제위도향적관리모식운용1개월。채용억욱자평량표（ SDS）、초필자평량표（SAS）급간명건강측량량표（SF-36）대진행평개。결과간예전량조환자SAS、SDS、SF-36각유도평분비교차이균무통계학의의（P＞0．05）；간예후，관찰조환자SAS、SDS평분분별위（36．67±6．11），（40．69±6．76）분，균저우대조조（45．02±6．24），（45．96±6．87）분，차이유통계학의의（t 치분별위5．462，6．211；P＜0．05）；관찰조환자SF-36각유도평분우우대조조화간예전，차이균유통계학의의（ P＜0．05）；관찰조환자병발증발생솔위10．87％，저우대조조적32．61％，차이유통계학의의（χ2＝3．619，P＝0．024）。결론통과이문제위도향적호리관리모식，가현저제고혈액투석환자림상료효，개선환자예후，제고기생활질량，치득림상엄범추엄화응용。
Objective To explore the application effect of problem -based management model in the nursing of hemodialysis patients .Methods Ninety-two hemodialysis patients from September 2012 to April 2013 were chosen and randomly divided into the control group and the observation group , each with 46 cases.The control group received the routine nursing , and the observation group received problem-based management model for one month.The self-rating anxiety scale (SAS), the self-rating depression scale (SDS) and the short form-36 health survey (SF-36) were used in two groups.Results No differences were found in the scores of SAS , SDS and SF-36 before intervention between two groups ( P >0.05 ).The scores of SAS and SDS were respectively (36.67 ±6.11), (40.69 ±6.76) in the observation group after intervention , and were lower than (45.02 ±6.24), (45.96 ±6.87) in the control group, and the differences were statistically significant ( t=5.462, 6.211, respectively;P<0.05).The scores of every dimension in SF-36 in the observation group after intervention were better than those in the control group and those before intervention , and the differences were statistically significant (P<0.05).The incidence rate of complication in the observation group was 10.87%, and was lower than 32.61%in the control group, and the difference was statistically significant (χ2 =3.619, P=0.024).Conclusions The problem-based management model in the nursing of hemodialysis patients can significant increase their clinical efficacy , and improve their prognosis , and improve the quality of life , and is worthy of promotion and application in clinic .
