Application of Cox interaction model of client health behavior in maintenance hemodialysis patients
10.3760/cma.j.cn115682-20210129-00477
- VernacularTitle:Cox健康行为互动模式在维持性血液透析患者中的应用
- Author:
Xinyan JIA
1
Author Information
1. 长治医学院附属和平医院血液净化室，长治 046000
- Keywords:
Dialysis;
Maintenance hemodialysis;
Cox interaction model of client health behavior;
Self-management;
Quality of life
- From:
Chinese Journal of Modern Nursing
2021;27(26):3591-3596
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of Cox interaction model of client health behavior (IMCHB) on self-management and quality of life in maintenance hemodialysis (MHD) patients.Methods:A total of 137 patients who received regular hemodialysis (HD) at Heping Hospital Affiliated to Changzhi Medical College from September 2019 to September 2020 were selected as the research objects by convenience sampling method. Patients received treatment on Tuesday, Thursday and Saturday were assigned into the control group (74 cases) , while patients received treatment on Monday, Wednesday and Friday were assigned into the experimental group (63 cases) . Routine nursing intervention was applied in the control group, and IMCHB was applied in the experimental group on the basis of control group. The patients were evaluated by the Self-Management Behavior Questionnaire for hemodialysis patients, the MOS 36-item Short Form Health Survey (SF-36) and laboratory biochemical indicators before the intervention and 3 months after the intervention.Results:After intervention, scores of all dimensions of self-management behavior in the experimental group were higher than those in the control group, with statistical significance ( P<0.05) . After intervention, scores of physical functioning, role-physical, bodily pain, general health, social functioning, role-emotional, mental health of the experimental group were all higher than those of the control group, with statistical significance ( P<0.05) . There was no statistically significant difference in vitality between the two groups after intervention ( P>0.05) . There was no statistically significant difference in the levels of urea nitrogen and potassium between the two groups after intervention ( P>0.05) . After the intervention, the levels of creatinine, hemoglobin, albumin and phosphorus in the experimental group were improved compared with those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:IMCHB can improve the self-management behavior of MHD patients, and improve the quality of life of patients and laboratory biochemical indicators.
