基于需要理论的层级护理方案在血液透析患者中的效果研究

目的 实施基于需要理论的层级护理方案,改善血液透析患者心理状态及预后。 方法 选取2015年2月—2016年1月宁波鄞州人民医院收治的血液透析患者118例,依据随机数表法分为观察组(基于需要理论的层级护理)和对照组(常规护理),比较2组患者护理前后的健康状态、心理状态及生理指标。 结果 护理前,2组患者的SF-36评分差异无统计学意义(P>0.05)。护理后,观察组、对照组的SF-36评分分别为(66.24±9.17)分、(59.38±8.26)分,差异具有统计学意义(P<0.05)。护理前,2组患者的SAS评分、SDS评分差异无统计学意义(P>0.05)。护理结束后,观察组的SAS、SDS评分分别为(37.28±5.06)分、(36.15±6.28)分,对照组的SAS、SDS评分分别为(49.15±5.46)分、(48.66±6.43)分,差异具有统计学意义(P<0.05)。护理前,2组患者的β₂-MG、BUN、Cr差异均无统计学意义(P>0.05)。护理后,观察组患者的β₂-MG、BUN、Cr明显低于对照组,差异具有统计学意义(P<0.05)。 结论 基于需要理论的层级护理能够明显改善血液透析患者的健康状况及负性情绪,提高临床治疗效果,值得临床推广。 

Effect of level of care programmes based need theory in hemodialysis patients

Objective To implement level of care programmes based need theory in hemodialysis patients to improve the mental status and prognosis of patients. Methods A total of 118 hemodialysis patients in our hospital between February, 2015 and January, 2016 were recruited and divided into observation groups (level of care based need theory) and control group (routine care) according to the random number table.The health status, mental state and other physiological indicators were compared before and after the treatment. Results SF-36 scores before the nursing care was performed had no significant difference between the two groups (P > 0.05);after the treatment, SF-36 scores were 66.24 ±9.17 in the observation group and 59.38 ±8.26 in the control group, the difference was statistically significant (P < 0.05).There were no significant difference in SAS and SDS score before the treatment (P > 0.05);after the treatment, SAS and SDS score were 36.15 ±6.28 and 37.28 ±5.06 in the observation group, which were higher than 48.66 ±6.43 and 49.15 ±5.46 in the control group, the difference was statistically significant (P < 0.05).The treatment effectively improved the levels ofβ2-MG, BUN and Cr in hemodialysis patients (P < 0.05). Conclusion The level of care based need theory can significantly improve the health status and negative emotions of hemodialysis patients, thus improve the clinical outcomes.