| 周茵,章海芬,金艳.多学科联合护理对慢性肾脏病患者体力活动能力和生活质量的影响[J].上海护理,2022,22(S1): |
| 多学科联合护理对慢性肾脏病患者体力活动能力和生活质量的影响 |
| Effects of multidisciplinary collaboration nursing on physical activity ability and quality of life in patients with chronic kidney disease |
| DOI： |
| 中文关键词: 多学科联合护理 慢性肾脏病 体力活动能力 生活质量 |
| 英文关键词:Multidisciplinary collaboration nursing Chronic kidney disease Physical activity ability Quality of life |
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| 中文摘要: |
| 摘要 目的 探索多学科联合护理对慢性肾脏病患者体力活动能力和生活质量的影响。方法 采用随机抽样法选取2018年6月~2020年7月我院123例慢性肾脏病患者作为研究对象，根据护理方法不同进行分组，其中55例实施常规护理，纳入对照组，68例实施多学科联合护理，纳入观察组。比较两组患者干预后入院宣教知晓情况、计划出院情况，入院时、出院6个月后体力活动能力[国际体力问卷（IPAQ）]、生活质量（QOL-100）评分、自我管理能力（自我管理行为量表）变化。结果 干预后，观察组患者入院宣教知晓率、计划出院率均高于对照组（P＜0.05）；出院6个月后，两组患者IPAQ日体力活动消耗量均较入院时提高，且观察组显著高于对照组（P＜0.05）；两组患者QOL-100量表中生理、心理、社会关系、生活状况、独立能力五个方面评分均较入院时提高，且观察组高于对照组（P＜0.05）；两组患者自我管理行为量表遵医嘱、饮食控制、规律锻炼、并发症护理各方面评分均较入院时提高，且观察组高于对照组（P＜0.05）。结论 慢性肾脏病患者实施多学科联合护理，可改善患者入院宣教知晓情况与计划出院情况，提高其自我管理能力，有效患者体力活动能力与生活质量。 |
| 英文摘要: |
| Abstract Objective To explore the effects of multidisciplinary collaboration nursing on physical activity ability and quality of life in patients with chronic kidney disease. Methods 123 patients with chronic kidney disease in the hospital between June 2018 and July 2020 were selected as the research subjects by the random sampling method, and they were grouped according to different nursing methods. Among them, 55 cases who received routine nursing were included in control group, and 68 cases undergoing multidisciplinary collaboration nursing were enrolled as observation group. The admission education awareness and planned discharge after intervention, physical activity ability [International Physical Activity Questionnaire (IPAQ)], quality of life (QOL-100) score and self-management ability (Self-Management Behavioral Scale) at admission and after 6 months of discharge were compared between the two groups. Results After intervention, the admission education awareness rate and planned discharge rate in observation group were higher than those in control group (P<0.05). After 6 months of discharge, the IPAQ daily physical activity consumption in the two groups was increased compared with that at admission, and the index in observation group was significantly higher than that in control group (P<0.05). The scores of five aspects of physiology, psychology, social relationship, living conditions and independence of QOL-100 scale in the two groups were significantly increased compared with those before intervention, and the scores in observation group were higher than those in control group (P<0.05). The scores of compliance with doctor’ s orders, diet control, regular exercise, nursing for complications in the two groups were increased compared with those at admission, and the scores in observation group were higher than those in control group (P<0.05). Conclusion The implementation of multidisciplinary collaboration nursing for patients with chronic kidney disease can improve admission education awareness and planned discharge, enhance the self-management ability, and effectively improve the physical activity ability and quality of life. |
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