摘要
目的:探讨基于危害分析与关键控制点(HACCP)理论的精准护理对糖尿病肾衰竭血液透析患者肾功能、心理弹性及自我感受负担的影响。方法:选取接受血液透析治疗的108例糖尿病肾衰竭患者为研究对象,根据护理方式不同分为对照组(n=54)和观察组(n=54)。对照组采用常规护理干预;观察组采用基于HACCP理论的精准护理干预,两组均连续干预12周。比较干预前、后两组肾功能指标[血肌酐(Cr)、肾小球滤过率(GFR)、血清白蛋白(ALB)、24 h尿蛋白(24 h-UTP)]、心理弹性[心理弹性量表(CD-RISC-10)]及自我感受负担[自我感受负担量表(SPBS)]。结果:干预12周后,两组患者Cr、24 h-UTP均较干预前降低,ALB较干预前升高(P<0.05),观察组GFR较干预前升高(P<0.05),对照组GFR干预前和干预后差异无统计学意义(P>0.05),观察组患者Cr、24 h-UTP均低于对照组,ALB、GFR均高于对照组(P<0.05);两组自强、坚韧、乐观评分及CD-RISC-10总分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);两组患者经济、情感、身体的负担评分及SPBS总分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。结论:基于HACCP理论的精准护理有利于促进糖尿病肾衰竭血液透析患者肾功能恢复、改善其心理弹性及自我感受负担。
Objective:To investigate the influence of precision nursing based on hazard analysis and critical control point(HACCP)theory on renal function,psychological resilience and self-perceived burden of hemodialysis patients with diabetes renal failure.Methods:A total of 108 patients with diabetes renal failure who received hemodialysis treatment were divided into control group(n=54)and observation group(n=54)according to the nursing mode.The control group received routine nursing intervention,while the observation group received precision nursing intervention based on HACCP theory.Both groups were continuously intervened for 12 weeks.Renal function indicators[serum creatinine(Cr),glomerular filtration rate(GFR),serum albumin(ALB),24h urinary protein(24H-UTP)],mental resilience[Mental Resilience Scale(CD-RISC-10)]and self-perceived burden[SPBS]before and after intervention were compared between the two groups.Results:After 12 weeks of intervention,Cr and 24 h-UTP in the two groups were lower than those before intervention,ALB was higher than that before intervention(P<0.05).GFR in the observation group was higher than that before intervention(P<0.05).There was no significant difference in GFR before and after intervention in the control group(P>0.05).Cr and 24h-UTP in observation group were lower than those in control group(P<0.05),ALB and GFR were higher than those in control group(P<0.05).The scores of self-improvement,tenacity,optimism and the total score of CD-RISC-10 in the two groups were higher than those before intervention(P<0.05),and the observation group were higher than the control group(P<0.05).The scores of economic burden,emotional burden,physical burden and total score of SPBS in the two groups were lower than those before intervention(P<0.05),and the observation group were lower than the control group(P<0.05).Conclusion:Precision nursing based on HACCP theory can promote the recovery of renal function,improve the psychological resilience and self-perceived burden of hemodialysis patients with diabetes renal failure.
作者
史秋敏
徐玮
马逊
李诚
杨家慧
SHI Qiu-min;XU Wei;MA Xun;LI Cheng;YANG Jia-hui(Blood Purification Center,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Province Hospital,Nanjing 210029,Jiangsu,China)
出处
《川北医学院学报》
CAS
2023年第11期1574-1578,共5页
Journal of North Sichuan Medical College
基金
2022年度省老年健康科研项目(LKZ2022002)。
关键词
危害分析与关键控制点
精准护理
糖尿病
慢性肾衰竭
肾功能
心理弹性
自我感受负担
Hazard analysis and critical control points
Precision care
Diabetes mellitus
Chronic kidney failure
Kidney function
Mental resilience
Self-perceived burden
