| 彭建珍.基于阶段变化理论的护理干预对首次动静脉内瘘成形术新透析患者心理状态及内瘘自我护理能力的影响[J].上海护理,2022,22(S1): |
| 基于阶段变化理论的护理干预对首次动静脉内瘘成形术新透析患者心理状态及内瘘自我护理能力的影响 |
| Effect of nursing intervention based on stage change theory on mental state and self-care ability of new dialysis patients after first arteriovenous fistula plasty |
| DOI： |
| 中文关键词: 阶段变化理论 血液透析 动静脉内瘘 心理状态 自我护理能力 |
| 英文关键词:The stage change theory,Hemodialysis,Arteriovenous fistula,Mental state,Self-care ability |
| 基金项目:南京市卫生和计划生育委员会 ,编号 :YKK18224 。 |
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| 中文摘要: |
| 摘要：[目的]探讨基于阶段变化理论（SCT）的护理干预对首次动静脉内瘘（AVF）成形术新入血液透析（HD）患者心理状态及内瘘自我护理能力的影响。[方法]选择2019年3月至2021年3月行首次AVF成形术的新入血液透析患者64例作为研究对象，采取随机数余数分组法分为两组，实验组(n=32)实施基于阶段变化理论的护理干预，对照组(n=32)实施常规护理。比较两组血透患者干预前、后的心理状态变化及动静脉内瘘自我护理能力改变。[结果]两组的SAS、SDS评分均降低，实验组心理状态改善显著优于对照组（P<0.05）；两组患者动静脉内瘘自我护理能力评分均升高，实验组AVF的自我护理能力显著高于对照组（P<0.05），在AVF使用的3个月内并发症发生率实验组显著低于对照组(P＜0.05）。[结论]基于阶段变化理论的护理干预，可改善血液透析患者的心理状态，提高透析患者动静脉内瘘的自我护理能力，降低AVF并发症的发生率。 |
| 英文摘要: |
| Abstract: Objective To explore the effect of nursing intervention based on SCT on the psychological state and self-care ability of new hemodialysis patients after the first arteriovenous fistula plasty.Methods 64 new hemodialysis patients who underwent the first AVF plasty from March 2019 to March 2021 were selected as the research objects,The experimental group (n = 32) implemented nursing intervention based on stage change theory, and the control group (n = 32) implemented routine nursing. The changes of mental state and self-care ability of arteriovenous fistula in hemodialysis patients before and after intervention were compared between the two groups.Results The scores of SAS and SDS in the experimental group decreased, and the improvement of psychological state in the experimental group was significantly better than that in the control group (P < 0.05)；The self-care ability of AVF in the experimental group was significantly higher than that in the control group (P < 0.05)；The incidence of complications within 3 months after AVF was used in the experimental group was significantly lower than that in the control group (P < 0.05)。Conclusion Nursing intervention based on stage change theory can improve the psychological state of hemodialysis patients, improve the self-care ability of hemodialysis patients with arteriovenous fistula, and reduce the incidence of AVF complications. |
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