摘要
目的:探究基于预见性理论的精细化护理在终末期肾病维持性血液透析患者中的应用效果。方法:选取2023年1月—2024年12月九江学院第二附属医院的80例终末期肾病维持性血液透析患者作为研究对象,按照入院时间分为常规组与试验组,各40例。剔除中途退出或失访人员后,常规组、试验组有效研究例数分别为35例与37例。比较两组的心理弹性、营养状况及自护水平。结果:干预后试验组心理弹性水平(CD-RISC评分)、自护水平(ESCA评分)较常规组高,差异有统计学意义(P<0.05);干预后试验组营养状况指标均高于常规组(包括血清白蛋白、总蛋白及血红蛋白水平),差异有统计学意义(P<0.05)。结论:在终末期肾病维持性血液透析患者的临床照护中,实施基于预见性理论的精细化护理够显著优化其心理弹性水平、改善患者的机体营养状况和提高其自护能力,具有较高的临床应用价值。
Objective:To investigate the application of refined nursing based on predictive theory in maintenance hemodialysis patients with end-stage renal disease.Method:80 patients with end-stage renal disease undergoing maintenance hemodialysis in the Second Affiliated Hospital of Jiujiang University from January 2023 to December 2024,were selected as the research subjects by using the convenience sampling method.The patients were divided into the conventional group and the experimental group according to the admission time,with 40 cases in each group.After the patients who dropped out or lost follow-up were excluded,the number of effective cases in the routine group and the test group was 35 and 37,respectively.The psychological resilience,nutritional status and self-care level of the two groups were compared.Result:After the intervention,the psychological resilience level(CD-RISC score)and self-care level(ESCA score)of the patients in the experimental group were higher than those in the conventional group,and the difference was statistically significant(P<0.05).After the intervention,the nutritional status indicators of the patients in the experimental group were all higher than those in the conventional group(including serum albumin,total protein and hemoglobin levels),and the difference was statistically significant(P<0.05).Conclusion:In the clinical care of patients with end-stage renal disease undergoing maintenance hemodialysis,the implementation of refined nursing based on the predictive theory can significantly optimize their psychological resilience level,improve their nutritional status and enhance their self-care ability,which has high clinical application value.
作者
曹红杏
柯春
CAO Hongxing;KE Chun(The Second Affiliated Hospital of Jiujiang University,Jiujiang 332005,China;不详)
出处
《中外医学研究》
2025年第25期97-100,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
