自我管理模式在慢性肾脏病患者中的实施效果

FAN Qi-qian ZHU Wen Department of Nephrology, Jingdezhen Second People's Hospital. Jiangxi Province, Jingdezhen 333000. China [Abstract] Objective To explore the implementation effect of self-management model in patients with chronic kidney disease. Methods Sixty-eight patients with chronic kidney disease admitted to our hospital from August 2016 to August 2018 were selected as the study subjects, they were divided into experimental group and control group by random num­ ber table method, 34 cases in each group. The reference group used routine nursing intervention and the experimental group took self-management mode intervention. Self-management ability scores, serum creatinine (SCr) and blood urea nitrogen (BUN) levels were compared between the two groups before and after intervention. Results Before intervention, there were no significant differences in the scores and total scores of self-management ability between the two groups (P>0.05). After intervention, the self-management ability scores of the two groups were higher than those before the in­ tervention (Pv0.05). The self -management ability scores of the experimental group were higher than the reference group, and the differences were statistically significant (Pv0.05). Before intervention, there were no significant differ­ ences in the levels of SCr and BUN between the two groups (P>0.05). After intervention, the SCr and BUN levels in the reference group were significantly higher than those before intervention (P<0.05). After intervention, the SCr and BUN levels in the experimental group were not significantly different from those before the intervention (P>0.05). The SCr and BUN levels after the intervention of the experimental group were lower than those of the reference group, and the difference was statistically significant (P<0.05). Conclusion The use of self-management intervention mode in patients with chronic kidney disease can improve the self-management level of patients and help to delay the progression of the disease, which is worthy of clinical application. [Key words] Chronic kidney disease; Self-management model; Nursing intervention; Implementation effect
常规护理干预，试验组则采取自我管理模式干预。比较两组干预前后的自我管理能力评分、血清肌肝(SCr)及血
尿素氮(BUN)水平。结果干预前，两组患者的自我管理能力各项评分及总分比较，差异无统计学意义(/>>0.05)；
干预后，两组患者的自我管理能力各项评分均高于干预前，试验组的自我管理能力各项评分均高于参照组，差异
用自我管理干预模式能提高患者的自我管理水平，有助于延缓病情进展,值得临床推广应用。
［关键词］慢性肾脏病；自我管理模式；护理干预；实施效果
冲图分类号］R692
［文献标识码］A
【文章编号］1674-4721 (2019)5(C)-0223-04
Βιβλιοθήκη Baidu
Implementation effect of self-management model in patients with chronic kidney disease
中国当代医药2019年5月第26卷第15期
•护理研究・
自我管理模式在慢性肾脏病患者中的实施效果
范琦茜 朱雯 江西省景德镇市第二人民医院肾内科，江西景德镇333000
［摘要1目的探讨自我管理模式在慢性肾脏病患者中的实施效果。方法选取2016年8月-2018年8月我院收治
的68例慢性肾脏病患者作为研究对象，采用随机数字表法分为试验组和参照组，每组各34例。参照组患者采用
有统计学意义(P<0.05)。干预前，两组患者的SCr、BUN水平比较，差异无统计学意义(P>0.05 )；干预后，参照组的
SCr、BUN水平均明显高于干预前(P<0.05)汗预后，试验组患者的SCr,BUN水平与干预前比较，差异无统计学意
义(Q0.05)；试验组干预后的SCr,BUN水平均低于参照组，差异有统计学意义(P<0.05)、结论慢性肾脏病患者采