摘要
目的探讨PDCA循环模式在慢性肾病血液透析患者饮食护理干预中的应用价值。方法选择2018年7月-2020年6月本院收治的128例慢性肾脏病患者作为研究对象,患者均接受1周3次的规律血液透析治疗。采用随机数表法分为观察组和对照组两组,每组各64例。对照组患者采取常规饮食护理模式,观察组患者采取PDCA护理模式下的饮食护理干预。比较干预后两组患者护理营养学指标、饮食行为能力、肾功能指标和护理满意度。结果护理2个月时,两组患者的营养学指标均有升高,并且观察组患者总蛋白(TP)、白蛋白(ALB)和转铁蛋白(TRF)水平均高于对照组,差异有统计学意义(P<0.05);两组患者肾脏病饮食依从行为量表(RABQ)中各维度得分均有升高,并且观察组患者摄盐、摄钾、自我护理、液体限制和面对困难5个维度的得分均高于对照组,差异有统计学意义(P<0.05);两组患者的肾功能指标均有降低,并且观察组患者血肌酐(Scr)和血尿素氮(BUN)水平均低于对照组,差异有统计学意义(P<0.05);观察组患者的护理满意度评价优于对照组,差异有统计学意义(P<0.05)。结论PDCA循环模式能够有效改善慢性肾病血液透析患者的营养状态,提高自我管理行为能力,减轻肾功能损伤,护理满意度评价较高。
Objective To explore the application value of PDCA cycle mode in the diet nursing intervention of patients with chronic kidney disease on hemodialysis.Methods A total of 128 patients with chronic kidney disease those were admitted to our hospital from July 2018 to June 2020 were selected as the research objects,and they received regular hemodialysis treatment 3 times a week at a dialysis center.All research objects were divided into an observation group(64 cases)and a control group(64 cases)according to a random number table method.Patients in the control group adopted regular diet care mode,and patients in the observation group received diet care intervention based on PDCA cycle mode.The differences of nutritional indicators,dietary behavior ability,renal function indicators and nursing satisfaction were compared between the two groups after nursing intervention.Results After 2 months of nursing,the serum nutritional indicators in the two groups were increased significantly,and levels of total protein(TP),albumin(ALB)and transferrin(TRF)in the observation group were significantly higher than those of the control group(P<0.05).After 2 months of nursing,the scores of all dimensions in the renal adherence behaviour questionnaire(RABQ)in the two groups were increased significantly,and the scores of five dimensions of salt intake,potassium intake,self-care,fluid restriction,and facing difficulties in the observation group were significantly higher than those of the control group(P<0.05).The renal function indexes in the two groups were reduced significantly,and the levels of serum creatinine(Scr)and blood urea nitrogen(BUN)in the observation group were significantly lower than those of the control group(P<0.05).The evaluation of nursing satisfaction in the observation group was significantly better than that of the control group after 2 months of nursing(P<0.05).Conclusions The PDCA cycle mode could effectively improve the nutritional status of patients with chronic kidney disease on hemodialysis,improve self-management behavior,reduce renal function damage,and have a higher nursing satisfaction.
作者
张倩
Zhang Qian(The Third Central Clinical College of Tianjin Medical University,Tianjin 300170,China)
出处
《齐齐哈尔医学院学报》
2021年第24期2198-2201,共4页
Journal of Qiqihar Medical University
关键词
PDCA循环
慢性肾病
血液透析
饮食干预
护理
PDCA cycle
Chronic kidney disease
Hemodialysis
Diet intervention
Nursing
