应用行为分阶段转变理论模式干预血液透析患者容量控制的效果观察.pdfVIP

Nursing Science 护理学, 2015, 4, 7-12 Published Online January 2015 in Hans. /journal/ns /10.12677/ns.2015.41002 Study on the Effect of Transtheoretical Model Intervention in Volume Control of Hemodialysis Patients Jie Zhang1,2,3,4 1 Department of Nephrology, Chinese PLA General Hospital, Beijing 2 Chinese PLA Institute of Nephrology, Beijing 3 State Key Laboratory of Kidney Diseases, Beijing 4 National Clinical Research Center of Kidney Diseases, Beijing Email: zhangjie_0902@ rd th th Received: Oct. 23 , 2014; revised: Nov. 10 , 2014; accepted: Nov. 18 , 2014 Copyright © 2015 by author and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: Through using transtheoretical model (TTM) in volume control of hemodialysis pa- tients, the volume status and its related physical examination result like change of weight, blood pressure, ultrafiltration volume, serum albumin (Alb) and so on were analyzed, accumulating the experience of exploring the effect model to control volume of hemodialysis patients. Methods: In this study, 60 initial hemodialysis patients were selected to complete questionnaire and imple- ment intervention; after 3-month follow-up, the volume status and the related observation results were compared with those before the intervention. Results: After intervention, the level of volume control was obviously improved; the ultrafiltration volume and incidence of edema significantly decreased; the weight and blood pressure of patients were well controlled; the level of