行为改变跨理论模型在糖尿病肾病维持性血液透析患者中的应用效果

Yuanyuan Wang, Xiaodan Liu, Pengzhi Wan, Miao-Lin Wu, Ye Geng, L. Yao
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引用次数: 0

摘要

目的探讨行为改变跨理论模型(TTM)在糖尿病肾病(DKD)维持性血液透析(MHD)患者中的应用效果。方法将80例MHD伴DKD患者按随机数字表法分为对照组和观察组,每组40例。结果干预6个月后,观察组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)得分均低于干预前和对照组(P < 0.05);观察组患者对液体摄入的依从性高于对照组,而观察组相关急性并发症的总发生率低于对照组(P < 0.05)。观察组患者空腹血糖(FBG)、餐后2h血糖(2hPBG)指标均低于对照组(P < 0.05),血清肌酐(SCr)、血尿素氮(BUN)、肾小球滤过率(GFR)等实验室检测指标均低于干预前,低于对照组(P < 0.05)。结论护理结合行为改变的TTM可有效增强MHD DKD患者对液体摄入的依从性,减少患者的负性情绪(如抑郁、焦虑),降低并发症发生率,提高生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The application effect of the trans-theoretical model of behavior change in diabetic kidney disease patients treated with maintenance hemodialysis
Abstract Objectives The application effect of the trans-theoretical model (TTM) of behavior change in diabetic kidney disease (DKD) patients treated with maintenance hemodialysis (MHD) was discussed. Methods According to the random number table method, 80 patients with DKD on MHD were divided into control group and observation group, 40 patients in each group. Results After the intervention for 6 months, the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores of patients in the observation group were all lower than those before the intervention and those in the control group (P < 0.05); the compliance of patients to fluid intake in the observation group was higher than that in the control group while the total incidence rate of associated acute complications of the former was lower than that of the latter (P < 0.05). The fasting blood glucose (FBG) and 2-h postprandial blood glucose (2hPBG) indexes of the observation group were lower than those of the control group (P < 0.05), and the laboratory test indexes of serum creatinine (SCr), blood urea nitrogen (BUN), glomerular filtration rate (GFR) were lower than those before the intervention and lower than those of the control group (P < 0.05). Conclusions The nursing combined with TTM of behavior change can effectively strengthen the compliance of DKD patients subjected to MHD to fluid intake, reduce patients’ negative moods (such as depression and anxiety), and lower the incidence rate of complications, and improve the life quality.
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