摘要
目的探讨协同护理结合个体化护理模式在肾功能不全合并高血压患者中的应用价值.方法选取我院2019年3月—2021年3月收治的肾功能不全合并高血压患者86例为研究对象,以随机数字表法将其分为观察组与对照组,每组43例.对照组采用常规护理,观察组采用协同护理结合个体化护理模式,两组均持续干预6个月.对比两组的血压水平、内生肌酐清除率、自我管理能力、生活质量及服药依从性.结果干预前,两组的血压水平、内生肌酐清除率、自我管理能力、生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组的血压水平低于对照组,内生肌酐清除率高于对照组,自我管理能力测定量表中各维度评分及世界卫生组织生存质量测定量表中各领域评分均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的总服药依从率为95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05).结论将协同护理结合个体化护理模式用于肾功能合并高血压患者中,能降低其血压水平,改善肾功能,提高疾病自我管理能力,改善生活质量,值得临床推广使用.
Objective To explore the application value of collaborative nursing combined with individual nursing mode in patients with renal insufficiency complicated with hypertension.Methods A total of 86 patients with renal insufficiency complicated with hypertension admitted to our hospital from March 2019 to March 2021 were selected and divided into an observation group and a control group by random number table method,with 43 cases in each group.The control group was treated with routine nursing,and the observation group was treated with collaborative nursing and individual nursing mode.Intervention lasted for 6 months in both groups.The blood pressure,clearance rate of endogenous creatinine,self-management ability,quality of life and medication compliance were compared between the two groups.Results Before intervention,there were no significant differences in blood pressure,clearance rate of endogenous creatinine,self-management ability scores and quality of life scores between the two groups before intervention(P>0.05);after intervention,the blood pressure in the observation group was lower than that in the control group,the clearance rate of endogenous creatinine in the observation group was higher than that in the control group,and the scores in all dimensions of the exercise of self-care agency scale and fields of World Health Organization quality of life-BREF scale were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the total medication compliance rate of the observation group was 95.35%,higher than 81.40%of the control group,and the difference was statistically significant(P<0.05).Conclusion Collaborative nursing combined with individualized nursing mode for patients with renal function complicated with hypertension can reduce their blood pressure level,improve renal function,improve disease self-management ability,improve the quality of life,worthy of clinical application.
作者
杨晚红
YANG Wanhong(Department of Nephrology,The Fourth Hospital of Harbin,Harbin Heilongjiang,150000,China)
出处
《反射疗法与康复医学》
2022年第4期65-68,共4页
Reflexology And Rehabilitation Medicine
关键词
肾功能不全
高血压
协同护理
个体化护理模式
自我管理能力
Renal insufficiency
High blood pressure
Collaborative nursing
Individual nursing mode
Self-management ability
作者简介
杨晚红(1988-),女,黑龙江哈尔滨人,本科,主管护师,研究方向:肾脏病患者的护理。
