【摘要】 目的 探讨协同护理模式在维持性血液透析患者延续性护理中的应用。方法 选取2020年6月至2021年9月广州市第十二人民医院收治的80例维持性血液透析患者作为研究对象，随机分为对照组（n=40）和试验组（n=40）。对照组予以常规护理，试验组予以协同护理联合延续性护理模式，均连续干预6个月。分析两组护理后的液体摄入依从性；并比较两组护理前和护理后6个月、12个月的不良情绪、生活质量及自我管理能力的变化差异；同时比较两组护理前、护理后6个月的血压和相关生化指标的变化差异。结果 护理后试验组的液体摄入依从率高于对照组，差异有统计学意义（P <0.05）。护理后6个月、12个月两组的抑郁自评量表（SDS）、焦虑自评量表（SAS）评分均较护理前降低，但试验组降低更明显（P <0.05）。护理后6个月、12个月两组的生活质量（KDQOL-SFTM）评分、自我管理能力评分均较护理前升高，但试验组升高更明显（P <0.05）。护理后6个月两组的血压和相关生化指标均较护理前改善，但试验组改善更明显（P <0.05）。结论 协同护理模式在维持性血液透析患者延续性护理中的应用效果良好。更多还原

【Abstract】 Objective To explore the application of collaborative nursing mode in continuous nursing of patients under maintenance hemodialysis. Methods A total of 80 patients under maintenance hemodialysis who were admitted to the Guangzhou 12th People’s Hospital from June 2020 to September 2021 were selected as the study subjects and randomly divided into the control group(n=40) and the experimental group(n=40) according to different nursing regimens. The control group received routine nursing, while the experimental group received collaborative nursing combined with continuous nursing mode. All the patients received continuous intervention for 6 months. The compliance of liquid intake after nursing was analyzed in the two groups, and the differences of the changes in bad mood, quality of life and self-management ability before nursing and 6 and 12 months after nursing were compared between the two groups. Besides, the changes of blood pressure and related biochemical indicators before nursing and 6 months after nursing were compared between the two groups. Results After nursing, the compliance rate of liquid intake in the experimental group was higher than that in the control group, with statistically significant difference(P < 0.05). The scores of self-rating depression scale(SDS) and self-rating anxiety scale(SAS) in the two groups 6 months and 12 months after nursing were lower than those before nursing, but the decrease in the experimental group was more significant(P < 0.05). The scores of kidney disease quality of life short form(KDQOLSFTM) and self-management ability of the two groups 6 months and 12 months after nursing were higher than those before nursing, but the increase in the experimental group was more significant(P < 0.05). And 6 months after nursing, the blood pressure and related biochemical indicators of the two groups were better than those before nursing, but the improvement in the experimental group was more significant(P < 0.05). Conclusion The application effect of collaborative nursing mode in continuous nursing of patients under maintenance hemodialysis is good.更多还原