摘要
目的探讨个案管理优势模型对维持性血液透析患者自我感受负担和依从性的影响。方法按照病区将符合纳入标准的92名维持性血液透析患者分为对照组和实验组,实验组患者接受为期6个月的基于个案管理优势模型的护理干预,对照组患者接受常规护理,比较干预前后2组患者《自我感受负担量表》和《依从性量表》得分。结果经过个案管理优势模型干预,实验组患者《自我感受负担量表》(t=-10.785,P<0.001)和《依从性量表》各维度[饮食依从(t=7.739,P<0.001),液体摄入依从(t=5.817,P<0.001),用药依从(t=3.616,P<0.001),透析方案依从(t=3.458,P=0.001)]得分均高于对照组,差异有统计学意义。结论以优势为导向的个案管理模式能够有效降低维持性血液透析患者的自我感受负担,提高其依从性。
Objective To explore the effect of strengths model of case management （SMCM） on self-perceived burden and compliance in maintenance hemodialysis （MHD） patients. Methods A total of 92 pa-tients were randomly divided into intervention group in which patients received SMCM plus routine care and routine group in which patients received routine care only. Scores of self-perceived burden scale and compli-ance scale were compared between the two groups. Results Patients in the intervention group had higher scores of self-perceived burden scale （t=-10.785, P〈0.001） and compliance scale in every dimension （t=7.739, P〈0.001 for diet compliance;t=5.817, P〈0.001 for liquid intake compliance;t=3.616, P〈0.001 for drug compliance;t=3.458, P=0.001 for dialysis protocol compliance）. Conclusion SMCM intervention can effectively lower self-perceived burden level and improve compliance in MHD patients.
出处
《中国血液净化》
2017年第12期803-806,共4页
Chinese Journal of Blood Purification
基金
广西壮族自治区教育厅重点课题(编号:YB2014087)
关键词
优势模型
个案管理
血液透析
自我感受负担
依从性
Strength model
Case management
Maintenance hemodialysis
Self-perceived burden
Compliance
