全程护理模式在维持性血液透析患者延伸到居家护理应用研究.docVIP

全程护理模式在维持性血液透析患者延伸到居家护理应用研究 　　【摘要】 目的 观察全程护理模式对维持性血液透析患者自我护理知识知晓率和多项透析指标的影响。方法 130例维持性血液透析患者， 随机分为观察组和对照组， 各65例。观察组采用全程护理模式， 对照组采用常规护理模式。比较两组患者自我护理知识知晓率和多项血透指标达标率。结果 观察组健康知识知晓率均高于对照组， 血红蛋白、血钙、血磷达标例数均多于对照组， 每月治疗费用均少于对照组（P0.05）；观察组心力衰竭并发症发生10例， 少于对照组的20例（P0.05）。结论 全程护理模式可提高患者透析知识知晓率和透析多项指标达标率， 能够给患者提供全程、优质、高效的护理， 提高了患者的自我护理能力、透析指标达标率和患者的生活质量， 把血液透析患者的护理延伸到居家。 　　【关键词】 全程护理模式；维持性血液透析；知晓率；达标率；居家护理 　　DOI：10.14163/j.cnki.11-5547/r.2016.20.136 　　【Abstract】 Objective To observe influence by whole-course nursing model on awareness rate of nursing knowledge and multiple hemodialysis indexes in maintenance hemodialysis patients. Methods A total of 130 maintenance hemodialysis patients were randomly divided into observation group and control group， with 65 cases in each group. The observation group received whole-course nursing model， and the control group received conventional nursing model. Comparison was made on awareness rate of nursing knowledge and standard rates of multiple hemodialysis indexes between the two groups. Results The observation group had higher awareness rate of health knowledge， more cases with standard hemoglobin， blood calcium， blood phosphorus， and less treatment cost than the control group （P0.05）. The observation group had 10 cases with heart failure complications， less than 20 cases in the control group （P0.05）. Conclusion Whole-course nursing model can improve awareness rate of hemodialysis knowledge and standard rates of multiple hemodialysis indexes in hemodialysis patients， along with qualified and highly effective nursing. This method improves self-nursing capacity， standard rate of hemodialysis indexes and quality of life in patients， and it extends home nursing for hemodialysis patients. 　　【Key words】 Whole-course nursing model； Maintenance hemodialysis； Awareness rate； Standard rate； Home nursing 　　目前血液透析是终末期肾脏病患者的最主要的替代治疗有效方式[1]， 患者对高质量生活的渴望， 对护理质量的要求也在不断提高， 本院血液透析室自2012年开展全程护理服务模式， 为患者提供了全程优质的专业护理服务[2]， 现报告如下。 　　1 资料与方法 　　1. 1 一般资料