摘要
目的探讨基于KANO模型的护理干预在血液透析护理中的应用。方法选择2017年1~12月在我院进行维持性血液透析的患者60例为研究对象,随机分为干预组与对照组各30例。对照组采用常规护理。干预组给予基于KANO模型的护理干预。比较两组干预前后SAS、SDS以及生活质量评分。结果干预组干预后SAS(42.2±10.8)分,SDS(41.5±9.3)分,显著低于干预前,差异有统计学意义(P<0.05);干预组干预后SAS评分及SDS评分显著低于对照组干预后,差异有统计学意义(P<0.05)。干预组干预后生活质量各维度得分以及总分,显著高于干预前,差异有统计学意义(P<0.05)。干预组干预后生活质量各维度得分以及总分显著高于对照组干预后,差异有统计学意义(P<0.05)。干预组总满意度为100.0%,对照组为80.0%,干预组显著高于对照组(P<0.05);秩和检验结果显示干预组满意情况优于对照组,差异有统计学意义(P<0.05)。结论血透患者实施基于KANO模型的护理干预能够显著提高生活质量,改善患者不良情绪。
Objective To discuss the application of nursing intervention based on KANO model in hemodialysis nursing. Methods Sixty patients who underwent maintenance hemodialysis in our hospital from January to December in 2017 were randomly divided into intervention group and control group, each of 30 cases. The control group was given routine care. The intervention group was given nursing intervention based on the KANO model. SAS, SDS and quality of life scores were compared before and after intervention. Results After intervention, the SAS of the intervention group was(42.2±10.8) points and the SDS was(41.5±9.3) points, which was significantly lower than those before the intervention(P<0.05). After intervention, the SAS score and SDS score of the intervention group were significantly lower than those of the control group, and the difference was statistically significant(P<0.05). After intervention, the quality of life score of the intervention group was significantly higher than that before the intervention, and the difference was statistically significant(P<0.05). After intervention, the quality of life score of the intervention group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The total satisfaction of the intervention group was 100.0%, which was significantly higher than that of the control group(80.0%, P<0.05). The results of rank sum test showed that the satisfaction of the intervention group was better than that of the control group, and the difference was statistically significant(P<0.05). Conclusion For hemodialysis patients, nursing intervention based on KANO model can significantly improve the quality of life and alleviate the bad moods of patients.
作者
徐娟娟
许敏霞
卢亚飞
XU Juanjuan;XU Minxia;LU Yafei(Department of Nephrology, Hangzhou Red Cross Hospital, Hangzhou 310003, China)
出处
《中国现代医生》
2019年第23期145-148,152,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018PY046)
关键词
KANO模型
护理干预
血透
生活质量
KANO model
Nursing intervention
Hemodialysis
Quality of life
