护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2015年
5期
1-3
,共3页
黄静雅%李小梅%杨素琼%邢瑞瑞%谢雪锋%温梅花%黄慧珊%吴怀巧
黃靜雅%李小梅%楊素瓊%邢瑞瑞%謝雪鋒%溫梅花%黃慧珊%吳懷巧
황정아%리소매%양소경%형서서%사설봉%온매화%황혜산%오부교
行为分阶段转变理论%腹膜透析%腹膜透析相关性腹膜炎%护理干预
行為分階段轉變理論%腹膜透析%腹膜透析相關性腹膜炎%護理榦預
행위분계단전변이론%복막투석%복막투석상관성복막염%호리간예
Transtheoretical model and stages of change%Peritoneal dialysis%Peritoneal dialysis - related peritonitis%Nursing intervention
目的::探讨行为分阶段转变理论指导护理干预对腹膜透析相关性腹膜炎的控制作用。方法:选择2010年1月~2011年12月在我院置管并行腹膜透析治疗的患者71例作为对照组,将2012年1月~2013年2月在我院置管并行腹膜透析治疗的患者作为试验组。根据行为分阶段转变理论对试验组行5个阶段干预,观察两组患者护理依从性、血清白蛋白(ALB)、血红蛋白(Hb)、腹膜炎发生率及生活质量情况。结果:腹膜透析后第12,24周时,试验组患者护理依从性得分比对照组高( P <0.05)。在12,24周时,试验组的 ALB,Hb 平均浓度较对照组高( P <0.05)。腹膜透析治疗48周内,试验组腹膜炎发生率比对照组低,差异具有统计学意义(P <0.05);肾脏病相关生存质量(KDTA)评分,试验组较对照组高,差异具有统计学意义(P <0.05);一般健康相关生存质量(SF -36)评分,试验组较对照组高,差异具有统计学意义(P <0.05)。结论:以行为分阶段转变理论为基础的护理干预能提高腹膜透析患者的依从性,降低腹膜炎发生率。
目的::探討行為分階段轉變理論指導護理榦預對腹膜透析相關性腹膜炎的控製作用。方法:選擇2010年1月~2011年12月在我院置管併行腹膜透析治療的患者71例作為對照組,將2012年1月~2013年2月在我院置管併行腹膜透析治療的患者作為試驗組。根據行為分階段轉變理論對試驗組行5箇階段榦預,觀察兩組患者護理依從性、血清白蛋白(ALB)、血紅蛋白(Hb)、腹膜炎髮生率及生活質量情況。結果:腹膜透析後第12,24週時,試驗組患者護理依從性得分比對照組高( P <0.05)。在12,24週時,試驗組的 ALB,Hb 平均濃度較對照組高( P <0.05)。腹膜透析治療48週內,試驗組腹膜炎髮生率比對照組低,差異具有統計學意義(P <0.05);腎髒病相關生存質量(KDTA)評分,試驗組較對照組高,差異具有統計學意義(P <0.05);一般健康相關生存質量(SF -36)評分,試驗組較對照組高,差異具有統計學意義(P <0.05)。結論:以行為分階段轉變理論為基礎的護理榦預能提高腹膜透析患者的依從性,降低腹膜炎髮生率。
목적::탐토행위분계단전변이론지도호리간예대복막투석상관성복막염적공제작용。방법:선택2010년1월~2011년12월재아원치관병행복막투석치료적환자71례작위대조조,장2012년1월~2013년2월재아원치관병행복막투석치료적환자작위시험조。근거행위분계단전변이론대시험조행5개계단간예,관찰량조환자호리의종성、혈청백단백(ALB)、혈홍단백(Hb)、복막염발생솔급생활질량정황。결과:복막투석후제12,24주시,시험조환자호리의종성득분비대조조고( P <0.05)。재12,24주시,시험조적 ALB,Hb 평균농도교대조조고( P <0.05)。복막투석치료48주내,시험조복막염발생솔비대조조저,차이구유통계학의의(P <0.05);신장병상관생존질량(KDTA)평분,시험조교대조조고,차이구유통계학의의(P <0.05);일반건강상관생존질량(SF -36)평분,시험조교대조조고,차이구유통계학의의(P <0.05)。결론:이행위분계단전변이론위기출적호리간예능제고복막투석환자적의종성,강저복막염발생솔。
Objective: To explore the effect of nursing intervention according to transtheoretical model and stages of change on controlling peritoneal dialysis - related peritonitis. Methods:71 cases of patients with PD in our hospital from January 2010 to December 2011 were chosen as the control group, meanwhile,65 cases from January 2012 to February 2013 were chosen as the experimental group. Intervention according transtheoretical model and stages of change the was applied to the experimental group,and then the nursing compliance,serum albumin (ALB),hemoglobin (Hb),and quality of life were com-pared between the two groups. Results:Compliance scores,ALB,Hb of the experimental group were higher than that of the control group (P < 0. 05) after PD - treatment for 12 weeks,24 weeks. The incidence of peritonitis in the experimental group was lower than that in the control group,the difference was sta-tistically significant (P < 0. 05). Compared with the control group,the scores of experimental group was higher and there was significant difference between the scores of KDTA(P < 0. 05). Similarly,there was significant difference between the scores of SF - 36 ( P < 0. 05). Conclusion:Nursing intervention based on transtheoretical model and stages of change could improve compliance of patients with PD,reduce the incidence of peritonitis.