连续性护理对门诊维持性血液透析患者自我管理能力和生活质量的影响。
Influence of continuity of care on self-management ability and quality of life in outpatient maintenance hemodialysis patients.
机构信息
Department of Nursing, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Department of Nephrology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
出版信息
Ther Apher Dial. 2022 Dec;26(6):1166-1173. doi: 10.1111/1744-9987.13800. Epub 2022 Feb 11.
INTRODUCTION
The objective of this study was to evaluate the effect of continuity of care on self-management ability and quality of life (QOL) in patients undergoing maintenance hemodialysis (MHD).
METHODS
One hundred patients were randomly assigned to the observation group and the control group. In the observation group, patients received a 12-month continuity of care. In the control group, patients were given with routine nursing. Evaluate the patients' self-management ability and QOL between two groups 1 week before discharge and 6 and 12 months outpatient MHD.
RESULTS
Observation group had higher Hemodialysis Self-Management Instrument (HD-SMI) scores and Kidney Disease Quality of Life-Short Form (KDQOL-SF™) scores than control group at 6 and 12 months outpatient MHD. But patients in observation group had a much lower systolic blood pressure than those in control group at 12 months outpatient MHD.
CONCLUSIONS
Our study suggested that continuity of care in the form of online education, telephone visit, and outpatient visit could improve self-management ability and QOL of patients undergoing MHD.
简介
本研究旨在评估连续性护理对维持性血液透析（MHD）患者自我管理能力和生活质量（QOL）的影响。
方法
将 100 名患者随机分为观察组和对照组。观察组患者接受为期 12 个月的连续性护理，对照组患者给予常规护理。在出院前 1 周和 MHD 门诊 6 个月和 12 个月时评估两组患者的自我管理能力和 QOL。
结果
观察组患者在 MHD 门诊 6 个月和 12 个月时的血液透析自我管理量表（HD-SMI）评分和肾脏病生活质量简表（KDQOL-SF™）评分均高于对照组，但观察组患者在 MHD 门诊 12 个月时的收缩压低于对照组。
结论
本研究表明，在线教育、电话访问和门诊访问等形式的连续性护理可以提高 MHD 患者的自我管理能力和 QOL。
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