延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响 VIP专享VIP免费

延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响李雪芹，温月,刘霞，陈崇诚，刁永书（四川大学华西医院肾内科四川成都610041）[摘要]目的探究延续性护理对慢性肾衰竭患者管理能力、负性情绪及生活质量的影响。方法选取本院收治的112慢性肾衰竭患者作为研究对象。依据患者入院时间的奇偶号随机分为观察组及对照组，每组各56例。观察组患者采用延续性护理，对照组患者采用常规护理。护理自出院起实施6个月。于出院时及出院后6个月，分别采用血液透析的自我管理行为问卷评估患者的自我管理能力；采用焦虑自评量表（self-ratinganxietyscale,SAS）和抑郁自评量表（self-ratingdepressionscale,SDS）评估患者的焦虑、抑郁程度；采用健康测量量表（theMOSitemshortfromhealthsurvey,SF-36）评估患者的生活质量。结果出院6个月，两组的自我管理各项目评分均显著增加（P<0.01），且同期的观察组各项目评分均显著高于相应的对照组（P<0.01）。出院6个月，两组的SAS评分及SDS评分均显著降低（P<0.01），且同期的观察组的SAS评分及SDS评分均显著低于相应的对照组（P<0.01）。出院6个月，两组的生活质量各评分均显著增加（P<0.01），且同期观察组的生活质量各评分均显著高于相应的对照组（P<0.01）。结论延续性护理模式有助于提升CRF患者的自我管理能力及生活质量，并显著缓解负性情绪。[关键词]延续性护理；慢性肾衰竭；自我管理能力；负性情绪；生活质量Effectofthecontinuousnursingonself-managementabllity,negativeemotionandqualityoflifeinpatientswithchronicrenalfailureLixueqin,Wenyue,Liuxia,Chenchongcheng,DiaoyongshuDepartmentofNephrology,WestChinaHospitalofSichuanUnivercity,Chengdu610041,China[Abstract]ObjectiveToexploretheeffectofthecontinuousnursingonself-managementabllity,negativeemotionandqualityoflifeinpatientswithchronicrenalfailure(CRF).Methods112patientswithCRFinhospitalwereselectedasresearchobjects.Allpatientsweredividedintoobservationgroupandcontrolgroupaccordngodd-and-evenadmissiontime,56casesineachgroup.Theobservationgroupwastreatedwithcontinuousnursing.Thecontrolgroupwastreatedwithroutinenursing.Thenursinglasted6monthssincedischarge.Onthedayofdischargeand6monthsafterdischarge,theself-managementbehaviorquestionnaireforhemodialysiswasusedtoevaluateself-managementabllity.Theself-ratinganxietyscaleandself-ratingdepressionscalewereusedtoevaluateanxietyanddepression,respectively.TheMOSitemshortfromhealthsurvey(SF-36)wasusedtoevaluatequalityoflifeinpatients.Results6monthsafterdischarge,thescoresineachitemofself-managementintwogroupswereallsignificantincreased(P<0.01).Thescoresineachitemofself-managementinobservationgroupwereallsignificanthigherthanthatofcontrolgroup(P<0.01).6monthsafterdischarge,theSASandSDSscoresintwogroupswereallsignificantdecreased(P<0.01).TheSASandSDSscoresinobservationgroupwereallsignificantlowerthanthatofcontrolgroup(P<0.01).6monthsafterdischarge,qualityoflifescoresintwogroupswereallsignificantincreased(P<0.01).Thequalityoflifescoresinobservationgroupwereallsignificanthigherthanthatofcontrolgroup(P<0.01).ConclusionThecontinuousnursingmodecontributedtothepromotionofself-managementabllityandqualityoflifeinpatientswithCRF,andnotableremissionofnegativeemotion.[Keywords]continuousnursing;chronicrenalfailure;self-managementabllity;negativeemotion;qualityoflife血液透析是目前慢性肾衰竭（chronicrenalfailure,CRF）的主要治疗手段，但是长期的治疗会出现心力衰竭等并发症，加之患者的的自我管理能力较差，加大了患者死亡的风险[1,2]，且治疗的持续性、反复性带来的昂贵费用为患者造成极大的经济、心理压力[3,4]。长此以往，患者背负较大的负性情绪，不利于预后[5]。CRF患者的...