|
|
Intervention effect of continuous nursing based on IMB model in hemodialysis patients with chronic renal failure |
XU Aiqun YU Xiping LI Jin TANG Xiaofei▲ |
Department of Nephrology, Ma’anshan People’s Hospital, Anhui Province, Ma’anshan 243000, China |
|
|
Abstract Objective To explore the intervention effect of continuous nursing based on information motivation behavior (IMB) model in patients with chronic renal failure undergoing hemodialysis. Methods A total of 80 patients with chronic renal failure who received hemodialysis in Ma’anshan People’s Hospital of Anhui Province from October 2017 to may 2020 were selected as the study subjects. According to the random number table method, they were divided into control group (40 cases) and study group (40 cases). The control group was given routine nursing and the study group was given continuous nursing based on IMB model. The blood urea nitrogen (BUN), serum creatinine (Scr), complication rate and nursing satisfaction were compared between the two groups after three months of nursing, and the nursing effect was evaluated. Results Before nursing, there was no significant difference in BUN and Scr between the two groups (P > 0.05). After nursing, BUN and Scr of the two groups were lower than before nursing, and the study group was lower than the control group, the differences were all statistically significant (all P < 0.05). After nursing, the complication rate of the study group was lower than the control group, the difference was statistically significant (P < 0.05). The nursing satisfaction of the study group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion The application of continuous nursing intervention based on IMB model in hemodialysis patients with chronic renal failure can improve the awareness rate of health knowledge and improve the quality of life of patients, which is worthy of clinical promotion and application.
|
|
|
|
|
[1] Abdu A,Arogundade FA. Prevalence and pattern of chronic kidney disease-mineral bone disorders among hemodialysis patients in kano,northwest Nigeria [J]. Ann Afr Med,2019,18(4):191-195.
[2] 熊怡.基于信息-动机-行为理论模型的健康指导在剖宫产产妇中的应用[J].护理研究,2018,32(3):436-438.
[3] 王萍,高华,马玉,等.基于信息-动机-行为技巧模型的延续性护理对脑卒中溶栓术后病人治疗有效性及依从性的影响[J].护理研究,2020,34(2):333-335.
[4] 任茂春,牟庆云,乔晓应.认知行为护理对慢性肾衰竭血液透析患者肾功能、生活质量的影响研究[J].中国全科医学,2020,23(S1):252-254.
[5] 邢庄婕,孙皎,李焕焕,等.行为改变分阶段理论对透析患者的干预研究进展[J].解放军护理杂志,2019,36(2):65-69.
[6] 高翔,梅长林.慢性肾脏病筛查诊断及防治指南[J].中国实用内科杂志,2017,37(1):28-34.
[7] 黄晓琳,燕铁斌.康复医学[M].5 版.北京:人民卫生出版社,2013:186-189.
[8] 宁婕,吴艳平,李玉凤.我国糖尿病肾脏疾病社区管理现状与探索[J].中国全科医学,2019,22(4):402-406.
[9] 汪小冬,罗梦丹,卢根娣.慢性肾脏疾病饮食居家监测与随访系统的应用[J].中国护理管理,2019,19(3):436-439.
[10] Bover J,Apetrii M,Cozzolino M. Mineral bone disorders in chronic kidney disease [J]. Nephrology,2019,51(5):88-94.
[11] 成栋,周华虹,郎旭军,等.慢性肾衰竭血液透析患者泌尿系感染相关因素分析[J].中华医院感染学杂志,2017, 27(5):1007-1010.
[12] 朱慧娴,周敏林,侯金花,等.肾脏疾病谱的变迁:基于2003~2014年中国单中心40759例肾活检病理诊断分析[J].肾脏病与透析肾移植杂志,2017,26(2):101-107.
[13] 郝媌,于俊生.慢性肾衰竭钙磷代谢紊乱病机构建与治则探讨[J].中国中医基础医学杂志,2017,23(11):1541-1543,1545.
[14] Jean G,Chazot C. Complications and treatment of mineral and bone disorders in chronic kidney disease [J]. Nephrol Ther,2019,15(4):242-258.
[15] 吴清秀.饮食管理对肾衰竭血液透析病人并发症的影响[J].护理研究,2019,33(12):2166-2168.
[16] 李鹏飞,李思汉,陈扬荣,等.慢性肾衰竭病证结合动物模型的研究与思考[J].中国中医基础医学杂志,2020, 26(8):1073-1075,1129.
[17] 罗燕,张华,李雪芹,等.维持性血液透析病人延续性护理需求的调查分析[J].护理研究,2018,32(1):120-122.
[18] 田丰萍,李雪雁,孙鹤玉.分析延续护理对肾衰竭血液透析患者疗效和生活质量的影响[J].实用临床护理学电子杂志,2018,36(2):65-69.
[19] 陈婷婷,卜庆丰,李维忠,等.王铁良治疗慢性肾功能衰竭经验探讨[J].中华中医药杂志,2019,34(9):4114-4116.
[20] 袁娟,王松,欧应华,等.血液透析治疗肾综合征出血热急性肾衰竭疗效及可行性分析[J].中国地方病防治杂志,2017,32(1):113.
[21] 陶燕娜,张凌燕,俞晓龙,等.维持性血液透析患者医院感染的病原学特点及影响因素研究[J].中华医院感染学杂志,2018,28(15):2302-2305.
[22] 杨羚,潘岁月.基于信息-动机-行为技巧模型的健康教育在支气管哮喘患者中的应用研究[J].中国健康教育,2020,36(6):565-568.
[23] 刘琳,丁蔚,徐美芳.信息-动机-行为模式健康教育对急性心肌梗死患者的影响[J].中国健康教育,2019,35(5):455-459.
[24] 王萍,马玉,杨越,等.基于信息-动机-行为技巧模型的延续性护理对脑卒中患者认知功能障碍的影响[J].中国医药导报,2020,17(23):163-166.
[25] 杜敏,黄燕,陈蓓蓓,等.信息-动机-行为技巧模型的延续护理对脑卒中患者照顾者的影响[J].中国现代医生,2020,58(36):169-173.
[26] 黄慧敏,李强盛.延续性护理在血液透析高磷血症患者铝碳酸镁治疗中的护理效果及对依从性的影响研究[J].中国医药科学,2021,11(6):115-118.
[27] 郭辉,沙丽艳,蒲丛珊,等.“互联网+”应用于术后患者延续性护理的研究进展[J].中国护理管理,2019,19(7):1045-1049.
[28] 卢明,俞燕娟,李中东,等.基于家庭医护平台延续性护理模式的构建及应用[J].中华护理杂志,2019,54(12):1851-1855.
[29] 应巧燕,徐克珮.我国延续性护理的概念分析[J].护理学杂志,2020,35(4):82-85. |
|
|
|