Effect of nursing intervention based on solution-focused approach on self-management ability of patients with maintenance hemodialysis
10.3760/cma.j.issn.1674-2907.2013.34.004
- VernacularTitle:应用聚焦解决模式开展护理干预对维持性血液透析患者自我管理能力的影响
- Author:
Li-Li ZHOU
1
;
Tian-Rong JI
;
Feng LIU
;
Zhi-Hua BU
;
Li LIU
;
Xiao-Yun YANG
Author Information
1. 150086,哈尔滨医科大学附属第二医院肾内科一病房
- Keywords:
Solution-focused approach;
Maintenance homodialysis;
Self-management ability;
Nursing
- From:
Chinese Journal of Modern Nursing
2013;48(34):4201-4204
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the influence of solution-focused approach on self-management ability of patients with maintenance hemodialysis , so as to provide objective evidence for improving nursing quality . Methods One hundred and twenty patients with maintenance homodialysis ( MHD) were randomly divided into 2 groups: the observation group and the control group , each with 60 cases.Both groups received health education and conventional treatment during dialysis , and the control group received traditional nursing while the observation group adopted solution-focused approach .Patients ’ knowledge about hemodialysis and changes of their self-management ability were evaluated after 6 months in both groups .Results After nursing with solution-focused approach , compared to control group , scores of hemodialysis related knowledge of patients in observation group were significantly higher, including dry weight concept [(4.03 ±0.84) vs (3.51 ±0.81)], self-monitoring [(15.21 ±1.58) vs (14.26 ±1.45)], dietary [(18.16 ±1.98) vs (18.90 ±1.84)], prevention of complications [(19.81 ±1.53) vs (18.68 ±1.32)], emergency medical procedure [(14.13 ±1.71) vs (14.90 ±1.68)], and total score [(76.18 ±3.73) vs (74.0 ±3.16)](t =-3.42, -3.41, 2.10,-4.33, 2.44, -3.46; P<0.05).Scores of self-management of patients in observation group , including regular dialysis [(11.47 ±1.53) vs (10.88 ±1.64)], sensible diet [(13.73 ±1.93) vs (12.95 ±1.92)], compliance [(11.33 ±1.59) vs (10.50 ±1.63)], appropriate physical activity [(11.57 ±1.34) vs (10.80 ±1.57)], nursing of arteriovenous fistula [(18.88 ±1.74) vs (17.53 ±1.91)], and total score [(69.35 ±4.12) vs (64.83 ±4.39)] were also significantly higher than that in control group (t=-2.01, -2.23, -2.83, -2.87, -4.03, -5.80; P <0.05).Conclusions Application of solution-focused approach can improve the self-management ability and treatments compliance of maintenance homodialysis patients, as well as their nursing efficiency .
