Wang Yan, Sun Jiakang, Guo Fei, Wan Deheng
Yan Wang, Department of Nephrology, Qinhuangdao Haigang Hospital, Qinhuangdao 066000, Hebei, China.
Jiakang Sun, Department of Nephrology, Qinhuangdao Haigang Hospital, Qinhuangdao 066000, Hebei, China.
Pak J Med Sci. 2024 Oct;40(9):2041-2045. doi: 10.12669/pjms.40.9.9076.
To investigate the effect of periodic nursing interventions on improving compliance behavior and health status in long-term hemodialysis patients.
This was retrospective study. A total of 88 patients on long-term hemodialysis admitted to Qinhuangdao Haigang Hospital from January 2022 to April 2023 were randomly divided into the control group and the intervention group, who received routine hemodialysis nursing and periodic nursing interventions, respectively. Afterward, compliance behavior and health status were compared between the two groups, along with a comprehensive assessment of the health status using renal function indexes, complication rates, and anxiety and depression scores.
Before nursing, no significant difference was observed in each index between the two groups (p > 0.05). After 16 months of nursing, the score of compliance behavior in the intervention group (88.68 ± 6.27) was significantly higher than that in the control group (70.91 ± 7.48) (p< 0.05), with the renal function indexes of BUN and SCr lower than those in the control group (p< 0.05). Meanwhile, the intervention group saw higher SAS and SDS scores than the control group (p< 0.05).
Periodic nursing interventions may effectively improve the compliance behavior and health status of patients, enhance the efficacy of hemodialysis treatment, and improve the quality of life of patients.
探讨定期护理干预对改善长期血液透析患者依从行为和健康状况的影响。
本研究为回顾性研究。选取2022年1月至2023年4月在秦皇岛海港医院收治的88例长期血液透析患者，随机分为对照组和干预组，分别接受常规血液透析护理和定期护理干预。之后，比较两组患者的依从行为和健康状况，并使用肾功能指标、并发症发生率以及焦虑和抑郁评分对健康状况进行综合评估。
护理前，两组各项指标比较差异无统计学意义（p>0.05）。护理16个月后，干预组的依从行为得分（88.68±6.27）显著高于对照组（70.91±7.48）（p<0.05），血尿素氮（BUN）和血肌酐（SCr）等肾功能指标低于对照组（p<0.05）。同时，干预组的焦虑自评量表（SAS）和抑郁自评量表（SDS）得分高于对照组（p<0.05）。
定期护理干预可有效提高患者的依从行为和健康状况，增强血液透析治疗效果，改善患者生活质量。
