Effect of nursing intervention guided with self-management on self-management behavior and quality of life of kidney-transplant patients
10.3760/j.issn.1674-2907.2014.15.026
- VernacularTitle:以自我管理模式为指导的护理干预对肾移植患者自我管理行为及生活质量的影响
- Author:
Xiaodan LI
1
;
Ruifang XIAO
;
Xingke QU
;
Yanqing DENG
;
Jia WANG
Author Information
1. 100044 北京大学人民医院特需部
- Keywords:
Kidney transplantation;
Self-management;
Quality of life;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2014;20(15):1821-1823
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of nursing intervention guided with self-management on self-management behavior and quality of life of kidney-transplant patients .Methods 192 eligible subjects were randomly divided into the experimental group ( n =99 ) and the control group ( n =93 ) .The control group received conventional nursing and follow-up visits while the experimental group adopted nursing intervention guided with self-management in addition , including collective education , group discussion , individual guidance and information.Self-management scale and quality of life scale were used to assess patients ’ self-management behavior and quality of life before and 3 months after intervention .Results There was no statistically significant difference of self-management behavior and quality of life between two groups before intervention (P>0.05). But after intervention , there was statistically significant difference of self-management behavior and quality of life between two groups (t=9.25,-6.65, respectively;P<0.05).In the experimental group, the score of self-management scale before and after intervention was respectively (93.22 ±3.28) and(100.44 ±4.44), the score of quality of life was (12.16 ±1.46)and(10.92 ±0.92), and the differences were statistically significant (t=-9.11,5.01, respectively; P<0.05).Conclusions Nursing intervention guided with self-management can improve the self-management level and quality of life of kidney transplant patients and has clinical significance for preventing rejection and increasing survival rate .