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目的:探讨协同护理模式对中国公民逝世后器官捐献(CDCD)肾移植患者对疾病的认知水平、自我护理能力、生活质量以及长期存活率的影响。方法:选取肾移植患者100例(来自50对CDCD供肾),其中每对CDCD的一个供肾移植患者随机分至A组,另一个供肾移植患者分至B组,两组采取不同处理:A组为对照组(n=50),实施常规护理。B组为干预组(n=50),即在常规护理的基础上实施协同护理模式,干预6个月后,采用疾病不确定感量表(MuIs)、自我护理能力测定量表(ESCA)两个方面比较两组干预效果。结果:应用协同护理模式能够显著提高肾移植术后患者的自我护理能力和生活质量,帮助患者改善不良情绪,以及提高对疾病的认知(P<0.05)。结论:协同护理模式能提高肾移植患者对疾病的认知水平,改善负面情绪,提高患者自理能力及生活质量,并对提高移植术后长期存活率有重要意义。
Objective: To explore the impact of collaborative nursing model on cognitive level, self-care ability, quality of life and long-term survival of patients with organ transplant (CDCD) after the death of Chinese citizens. METHODS: One hundred kidney transplant recipients (50 pairs of CDCD donor kidneys) were enrolled in this study. One kidney donor for each CDCD was randomly divided into group A and another donor for kidney transplantation. Group B received different treatment: A group as control group (n = 50), the implementation of routine care. Group B was intervention group (n = 50), that is, on the basis of routine nursing, the coordinated nursing model was implemented. After intervention for 6 months, the patients were assessed with the MuIs, ESCA The two groups compared the effect of intervention. Results: The application of collaborative nursing model can significantly improve self-care ability and quality of life of patients after renal transplantation, help patients to improve their bad mood, and improve their cognition of disease (P <0.05). Conclusion: Collaborative nursing model can improve cognitive level of patients with kidney transplantation, improve negative emotions, improve patients’ self-care ability and quality of life, and improve the long-term survival rate after transplantation.