综合护理对血液透析患者疾病认知、自我效能及并发症的影响.pdf

论著·护理论坛JOURNALOFCHINESEANDFOREIGNMEDICINEANDPHARMACYRESEARCH

综合护理对血液透析患者疾病认知、自我效能及并发症的影响

闫莉姜丽婷

830000新疆医科大学第五附属医院血液净化中心，新疆维吾尔自治区乌鲁木齐

摘要目的：探究综合护理对血液透析患者疾病认知、自我效能及并发症的影响。方法：选取2023年1月—2024年12月

新疆医科大学第五附属医院收治的70例血液透析患者，随机分为对照组（n=35）和观察组（n=35）。对照组采用常规护

理，观察组在对照组基础上采用综合护理。比较两组疾病认知水平、自我效能、护理满意度及并发症发生情况。结果：

干预后，两组疾病认知、病因评分较干预前高，观察组高于对照组（P＜0.05）；干预后，两组一般自我效能量表评分较干

预前高，观察组高于对照组（P＜0.05）；观察组护理满意度高于对照组（P=0.007）；两组并发症发生率比较，差异无统计学

意义（P＞0.05）。结论：综合护理可增强血液透析患者的疾病认知水平及自我效能感，提高其护理满意度。

关键词综合护理；血液透析；疾病认知；自我效能；并发症

中图分类号R473.5文献标识码A

ImpactofComprehensiveNursingonDiseaseAwareness,Self-Efficacy,andComplicationsinHemodialysisPatients

YanLi,JiangLiting

HemodialysisCenter,theFifthAffiliatedHospitalofXinjiangMedicalUniversity,Urumqi830000,XinjiangUygurAutonomous

Region,China

AbstractObjective:Toinvestigatetheimpactofcomprehensivenursingondiseaseawareness,self-efficacy,andcomplications

inhemodialysispatients.Methods:SeventyhemodialysispatientsadmittedtotheFifthAffiliatedHospitalofXinjiangMedical

UniversityfromJanuary2023toDecember2024wereenrolledandrandomlydividedintoacontrolgroup(n=35)andan

observationgroup(n=35).Thecontrolgroupreceivedroutinenursingcare,whiletheobservationgroupreceivedthe

comprehensivenursingonthebasisofcontrolgroup.Diseaseawareness,self-efficacy,nursingsatisfaction,andcomplicationrates

werecomparedbetweenthetwogroups.Results:Aftertheintervention,bothgroupsshowedsignificantimprovementsindisease

awarenessandetiologyknowledgescorescomparedtobaseline,withtheobservationgroupdemonstratinghigherscoresthanthe

controlgroup(P0.05).TheGeneralSelf-EfficacyScalescoresincreasedinbothgroupspost-intervention,withtheobservation

groupscoringsignificantlyhigherthanthecontrolgroup(P0.05).Nursingsatisfactionwassignificantlyhigherintheobservation

groupthanthec