激励式护理对血液透析患者生活质量和自我护理能力的改善效果研究

目的: 探讨激励式护理对血液透析患者生活质量和自我护理能力改善的效果。方法: 将120例血液透析患者随机分为观察组和对照组各60例。对照组采用常规护理,观察组在此基础上给予激励式护理。比较两组患者的生活质量、自我护理能力、疾病防治知识掌握情况和并发症发生情况。结果: 观察组患者的生活满意、健康指数、一般感情指数以及情感得分评分均高于对照组,差异有统计学意义（P<0.05）;观察组患者自我概念、健康知识水平、自我护理技能和自护责任感评分值均明显高于对照组(P<0.05);两组患者护理后的遵医行为、并发症防治、高危因素、饮食注意事项、急救知识和技能评分观察组明显高于对照组(P<0.05);观察组患者高血压、心力衰竭、呼吸困难、低血压并发症发生率低于对照组(P<0.05)。结论: 激励式护理可以改善血液透析患者的生活质量和自我护理能力,减少并发症的发生。

The study on improvement effect of incentive nursing on quality of life and self-care ability of hemodialysis patients

Objective: To explore the effect of incentive nursing on the quality of life and self-care ability of hemodialysis patients. Methods: A total of 120 hemodialysis patients were randomly divided into observation group and control group, 60 cases in each group.The patients of control group were given routine nursing, and the patients of observation group were given incentive nursing on this basis.The quality of life, self-care ability, knowledge of disease intervention and treatment and the incidence of complications were compared between the two groups. Results: The life satisfaction, health index, general affective index and affective score of the observation group were higher than those of the control group(P<0.05). The scores of self-concept, health knowledge, self-care skills and self-care responsibility in observation group were significantly higher than those in the control group(P<0.05). After nursing, the scores of compliance behavior, prevention and treatment of complications, high risk factors, dietary precautions, first aid knowledge and skills in the observation group were better than the control group(P<0.05).The complication rates of hypertension, heart failure, dyspnea and hypotension in the observation group were significantly lower than those in the control group(P<0.05). Conclusion: Incentive nursing can improve the quality of life and self-care ability of hemodialysis patients, and reduce the incidence of complications.