护士主导的,基于三角形的等级管理模式对接受维持血液透析的患者的影响:一项随机对照试验
Fei Zha1, Liqiong Tang2, Wenwen Li1
1Department of Nephrology, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, PR China.
Applied nursing research : ANR
|January 24, 2026
概括
一个由护士领导的新三角管理模式显著改善了维持血液透析 (MHD) 患者的生活质量和坚持治疗. 这种方法还减少了住院治疗,为慢性疾病护理提供了更好的策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 护理科学 护理科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 维持血液透析 (MHD) 对患者的生活质量 (QoL) 和治疗坚持提出了重大挑战.
- 目前的护理实践往往缺乏针对MHD患者的个性化,风险分层的方法.
- 这项研究研究了一种由护士领导的新型干预措施,以解决这些差距.
研究的目的:
- 评估基于三角形的层次管理模型在改善MHD患者的治疗结果方面的有效性.
- 评估干预对患者生活质量,自我管理,坚持和住院率的影响.
主要方法:
- 一个前性,单中心,集群随机试验,涉及80名MHD患者.
- 患者被分配到24周的三角模型干预组或接受常规护理的对照组.
- 主要结果:KDQOL-SFTM KDTA分数的变化;次要结果:自我管理,坚持,知识和住院率.
主要成果:
- 与对照组相比,干预组的KDTA得分明显改善 (P < 0.001).
- 在干预组中观察到自我管理 (P < 0.001) 和治疗坚持 (P < 0.001) 的显著改善.
- 观察组的住院率明显较低 (11.1%与28.6%相比;P = 0.048).
结论:
- 护士领导的三角形层次管理模型有效地提高了MHD患者的QOL,自我管理和坚持.
- 该模型显示,住院率显著降低,表明患者的治疗结果有所改善.
- 研究结果支持实施风险分层护理模型来管理MHD等慢性疾病.
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