摘要
目的研究前馈控制干预在血液透析继发甲状旁腺功能亢进患者中的应用效果。方法选取2020年1月-2023年1月在我院接受治疗的血液透析继发甲状旁腺功能亢进68患者,根据随机数字表达将其分为对照组和研究组,每组各34例。对照组行常规护理干预,研究组行前馈控制干预,观察两组患者入院次日、出院前日心理状态、自我管理能力及住院期间血液透析并发症发生情况。结果本研究共纳入68例患者,对照组有1例患者因问卷填写有误剔除,最终67例患者完成研究。入院次日,两组患者HADS各维度评分及总评分对比无显著差异(P>0.05);出院前日,两组患者HADS各维度评分及总评分均有下降(P<0.05),研究组低于对照组(P<0.05)。入院次日,两组患者甲状旁腺患者自我管理行为量表各维度评分及总评分对比无显著差异(P>0.05);出院前日,两组患者甲状旁腺患者自我管理行为量表各维度评分及总评分均有提升(P<0.05),研究组高于对照组(P<0.05)。研究组住院期间并发症发生率低于对照组(P<0.05)。结论前馈控制干预可有效改善血液透析继发甲状旁腺功能亢进患者心理状态,提升自我管理能力,降低并发症发生风险。
Objective:To study the effect of feedforward control intervention in hemodialysis patients with secondary hyperparathyroidism.Methods:A total of 68 hemodialysis patients with secondary hyperparathyroidism in our hospital from January 2020 to January 2023 were selected according to random number expression,and were divided into a control group and a research group,with 34 cases in each group.The control group received routine nursing intervention,the research group received feedforward control intervention.The mental state,self-management ability and hemodialysis complications during hospitalization were observed between the two groups on the day after admission and before discharge.Results:A total of 68 patients were included in this study,and 1 patient in the control group was excluded due to incorrect questionnaire filling.Finally,67 patients completed the study.On the next day after admission,there were no significant differences in HADS scores of each dimension and total scores between the two groups(P>0.05).On the day before discharge,HADS scores of all dimensions and total scores decreased in both groups(P<0.05),and the study group was lower than the control group(P<0.05).On the next day after admission,there were no significant differences in the scores of each dimension and total scores of the self-management behavior scale for parathyroid patients between the two groups(P>0.05).On the day before discharge,the scores of all dimensions and total scores of the self-management behavior scale for parathyroid patients in both groups were improved(P<0.05),and the study group was higher than the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:Feedforward control intervention can effectively improve the psychological state of hemodialysis patients with secondary hyperparathyroidism,improve self-management ability,and reduce the risk of complications.
作者
邱夏香
袁桂华
方婷
QIU Xia-xiang;YUAN Gui-hua;FANG Ting(Disease Prevention and Control Center of Suichuan County,Ji'an Jiangxi 343900,China;Suichuan County People's Hospital,Ji'an Jiangxi 343900,China)
出处
《透析与人工器官》
2023年第4期105-108,113,共5页
Chinese Journal of Dialysis and Artificial Organs
关键词
前馈控制干预
血液透析
甲状旁腺功能亢进
feedforward control intervention
hemodialysis
hyperparathyroidism
作者简介
通讯作者:邱夏香,E-mail:qiuxiaxiang@163.com
