延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响

延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响(论文4400字)
[摘要] 目的 探究延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响。方法 选取本院收治的112慢性肾衰竭患者作为研究对象。依据患者入院时间的奇偶号随机分为观察组及对照组，每组各56例。观察组患者采用延续性护理，对照组患者采用常规护理。护理自出院起实施6个月。于出院时及出院后6个月，分别采用血液透析的自我管理行为问卷评估患者的自我管理能力；采用焦虑自评量表（ self-rating anxiety scale, SAS）和抑郁自评量表（self-rating depression scale, SDS）评估患者的焦虑、抑郁程度；采用健康测量量表（the MOS item short from health survey, SF-36）评估患者的生活质量。结果 出院6个月，两组的自我管理各项目评分均显著增加（P<0.01），且同期的观察组各项目评分均显著高于相应的对照组（P<0.01）。出院6个月，两组的SAS评分及SDS评分均显著降低（P<0.01），且同期的观察组的SAS评分及SDS评分均显著低于相应的对照组（P<0.01）。出院6个月，两组的生活质量各评分均显著增加（P<0.01），且同期观察组的生活质量各评分均显著高于相应的对照组（P<0.01）。结论 延续性护理模式有助于提升CRF患者的自我管理能力及生活质量，并显著缓解负性情绪。
[关键词] 延续性护理；慢性肾衰竭；自我管理能力；负性情绪；生活质量
Effect of the continuous nursing on self-management abllity, negative emotion and quality of life in patients with chronic renal failure

[Abstract] Objective To explore the effect of the continuous nursing on self-management abllity, negative emotion and quality of life in patients with chronic renal failure (CRF). Methods 112 patients with CRF in hospital were selected as research objects. All patients were divided into observation group and control group accordng odd-and-even admission time, 56 cases in each group. The observation group was treated with continuous nursing. The control group was treated with routine nursing. The nursing lasted 6 months since discharge. On the day of discharge and 6 months after discharge, the self-management behavior questionnaire for hemodialysis was used to evaluate self-management abllity. The self-rating anxiety scale and self-rating depression scale were used to evaluate anxiety and depression, respectively. The MOS item short from health survey (SF-36) was used to evaluate quality of life in patients. Results 6 months after discharge, the scores in each item of self-management in two groups were all significant increased (P<0.01).
The scores in each item of self-management in observation group were all significant higher than that of control group (P<0.01). 6 months after discharge, the SAS and SDS scores in two groups were all significant decreased (P<0.01). The SAS and SDS scores in observation group were all significant lower than that of control group (P<0.01). 6 months after discharge, quality of life scores in two groups were all significant increased (P<0.01). The quality of life scores in observation group were all significant higher than that of control group (P<0.01). Conclusion The continuous nursing mode contributed to the promotion of self-management abllity and quality of life in patients with CRF, and notable remission of negative emotion.
[Key words] continuous nursing; chronic renal failure; self-management abllity; negative emotion; quality of life