摘要
目的探讨基于行为阶段转变理论的容量管理干预对腹膜透析患者水盐控制的影响。方法将110例腹膜透析患者随机分为观察组和对照组各55例。对照组采用常规护理干预,观察组在常规护理基础上实施基于行为阶段转变理论的多阶段容量管理干预,连续6个月后评价效果。结果干预后观察组容量管理行为显著优于对照组,液体摄入量、食盐摄入量显著低于对照组,食欲减退、水肿、气促、胸闷等症状发生率显著低于对照组,口渴评分、体质量显著低于对照组(P<0.05,P<0.01);两组尿量均逐渐减少;干预前后两组超滤量无明显改变(均P>0.05)。结论基于行为阶段转变理论的容量管理干预能够促进患者容量管理行为转变,提高患者的水盐摄入依从性,改善患者容量状况。
Objective To assess the influence of volume management intervention based on transtheoretical model (stages of change theory) on water-salt control in patients on peritoneal dialysis. Methods Totally,110 patients on peritoneal dialysis were randomly divided into a control group ( n =55),who received routine nursing intervention, and an intervention group ( n =55), who received volume management intervention based on transtheoretical model (stages of change theory).The effect measures were compared after 6 months. Results After intervention, the intervention group had better volume management behaviors, less fluid intake and salt intake than the control group;the former also had lower incidence rates of anorexia, edema, shortness of breath, chest tightness,etc., and fewer thirsty scores and body weights than the latter ( P <0.05, P <0.01). The urine volume of the two groups decreased gradually, and there was no significant difference in ultrafiltration in both groups before and after intervention ( P >0.05 for all). Conclusion Volume management intervention based on transtheoretical model (stages of change theory) could strengthen patients′ behavior change of volume management,improve their water and salt adherence,and improve patient volume associated conditions.
作者
刘玲玲
黄燕林
杨玉颖
罗怡欣
侯璐蒙
Liu Lingling;Huang Yanlin;Yang Yuying;Luo Yixin;Hou Lumeng(Department of Nephrology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第13期48-51,共4页
Journal of Nursing Science
基金
广西医疗卫生适宜技术开发与推广应用项目(S2017030)
关键词
终末期肾脏
腹膜透析
容量超负荷
行为阶段转变理论
容量管理
液体摄入量
食盐摄入量
尿量
end-stage nephropathy
peritoneal dialysis
volume overload
transtheoretical model (stages of change theory)
volume management
fluid intake
salt intake
urine volume
