微视频行动导向教育联合HACCP康复护理在首次血液透析患者中的应用效果

目的 观察微视频行动导向教育联合危害分析与关键控制点（HACCP）康复护理在首次血液透析患者中的应用效果。方法 选择2020年5月至2023年5月于南京鼓楼医院集团宿迁医院首次行血液透析的终末期肾病患者120例作为研究对象,以组间特征均衡性分为观察组60例、对照组60例,对于对照组遵循终末期肾病维持性血透常规护理法施护,对于观察组于此基础之上加用微视频行动导向宣教联合HACCP康复护理干预,将两组干预后的各观察指标进行比较。结果 观察组患者疾病不确定感评分低于对照组,自我管理能力评分高于对照组,残余肾功能指标优于对照组,透析并发症低于对照组,生活质量评分高于对照组（P＜0.05）。结论 将微视频行动导向教育联合HACCP康复护理应用于首次血液透析患者,利于其疾病不确定感、提升自我管理能力、保护残余肾功能、降低血透并发症、优化生活质量。

Research on the application of micro video action oriented education combined with HACCP rehabilitation nursing on first-time hemodialysis patients

Objective To observe the effect of microvideo action-oriented education combined with HACCP rehabilitation nursing in first-time hemodialysis patients. Methods A total of 120 patients with end-stage renal disease who underwent hemodialysis for the first time in Nanjing Gulou Hospital Group Suqian Hospital from May 2020 to May 2023 were selected. They were divided into an observation group(n=60)and a control group(n=60)based on the characteristic balance between the groups. The patients of the control group were followed the routine nursing method for maintenance hemodialysis,while the ones of the observation group were added micro-video action-oriented education combined with HACCP rehabilitation nursing intervention. The patients of the two groups were compared on various indicators after intervention. Results The disease uncertainty score of patients of the the group was lower than that of the control group,and the self-management ability score was higher. The residual renal function index was better than that of the control group,the incidence of hemodialysis complications were lower,and the quality of life score was higher than that of the control group(P＜0.05). Conclusions The application of micro-video action-oriented education combined with HACCP rehabilitation nursing in first-time hemodialysis patients would be beneficial for reducing disease uncertainty,improving self-management ability,protecting residual kidney function, reducing hemodialysis complications,and optimizing quality of life.