A study on continuity nursing guided by timing theory in maintenance hemodialysis patients with chronic renal failure
时机理论导向的延续性护理在慢性肾衰竭维持性血液透析患者中的研究

摘要

目的 探讨时机理论导向的延续性护理对慢性肾衰竭维持性血液透析患者的应用分析。方法 选择2024年1月-2024年12月内接收的慢性肾衰竭维持性血液透析患者100例，运用随机数字表法，把这100例患者分成两组：对照组和观察组各50例，其中对照组采取常规护理方法，观察组采用时机理论导向的延续性护理。对两组的临床护理效果，如两组患者的肾功能指标、心理状态（焦虑、抑郁）评分、生活质量评分及护理满意度进行对比和评估。结果 护理前两组在肾功能指标、心理状态评分方面均差异不明显（P＞0.05）。观察组护理后的血肌酐、血尿素氮水平，焦虑、抑郁评分均比对照组更低（P＜0.05）；生活质量评分比对照组高（P＜0.05）。观察组护理满意度高于对照组（P＜0.05）。结论 在对慢性肾衰竭维持性血液透析患者实施时机理论导向的延续性护理取得明显的效果，显著改善患者心理状态和肾功能情况，提高其生活质量和护理满意度，有较高应用价值。

Abstract

Objective A study on the continuity of care guided by timing theory in maintenance hemodialysis patients with chronic renal failure.
Methods Select 100 patients with chronic renal failure undergoing maintenance hemodialysis between January and December 2024, and use a random number table method to divide these 100 patients into two groups: a control group and an observation group, with 50 patients in each group. The control group receives routine nursing care, while the observation group receives timing theory guided continuity of care. Compare and evaluate the clinical nursing outcomes of two groups, including renal function indicators, psychological state (anxiety, depression) scores, quality of life scores, and nursing satisfaction.
Results There was no significant difference (P>0.05) in renal function indicators and psychological status scores between the two groups before nursing. The levels of blood creatinine, blood urea nitrogen, anxiety, and depression scores in the observation group after nursing were lower than those in the control group (P<0.05); The quality of life score was higher than that of the control group (P<0.05).The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).
Conclusion   The implementation of timing oriented continuity nursing for maintenance hemodialysis patients with chronic kidney failure has achieved significant results, significantly improving their psychological state and renal function, enhancing their quality of life and nursing satisfaction, and has high application value.