循证护理在提高肾移植患者术后生活质量中的作用
Effect of Evidence-Based Nursing in Improving the Living Quality of Renal Transplant Recipients
DOI: 10.12677/NS.2014.33011, PDF, HTML, 下载: 2,558  浏览: 6,104 
作者: 沈益好, 刘立芳, 明英姿:中南大学湘雅三医院移植中心,长沙
关键词: 循证护理肾移植生活质量Evidence-Based Nursing Care Renal Transplant Living Quality
摘要: 目的:探讨循证护理在提高肾移植患者术后生活质量中的作用。方法:将2012年3月~2013年3月我中心实施肾移植术的111例患者随机分成两组,对照组实行常规护理,实验组在常规护理基础上加入循证护理,并于护理干预前和干预后12周,通过随访分别对两组患者的生活质量进行评价。结果:我中心循证护理小组以“如何提高肾移植患者的生活质量”作为循证护理问题,通过查阅国内外医学文献研究报告,寻找肾移植患者生活质量的主要影响因素,并结合临床护理知识及经验,做出符合病人需求的循证护理计划,经循证护理干预后,实验组患者生活质量得到了明显的提高(P < 0.05),且干预后实验组患者生活质量要高于对照组患者(P < 0.05)。结论:循证护理对提高肾移植术后患者生活质量具有明显的影响,为今后肾移植患者护理实践提供了参考依据。
Abstract: Objective: To explore the effect of evidence-based nursing in improving the life quality of renal transplant recipients. Methods: 111 renal transplant patients in our hospital from 2012 March to 2013 March were randomly divided into two groups, the control group received routine nursing, and the case group received evidence-based nursing, evaluating the living quality of them before and after the nursing care. Results: Our center set “How to improve the quality of life in renal transplant patients” as evidence-based nursing problems, sought the main factors which affected the quality of life by reviewing the medical literature research report, and formulated the evi-dence-based nursing care plan combined with the clinical nursing knowledge and experience; after the evidence-based nursing intervention, the quality of life in patients of the case group was obviously increased (P < 0.05), which was higher than the control group patients (P < 0.05). Con-clusion: Evidence-based nursing could improve the quality of life in patients with renal transplan-tation obviously, which provided the reference for nursing practice in the future.
文章引用:沈益好, 刘立芳, 明英姿. 循证护理在提高肾移植患者术后生活质量中的作用[J]. 护理学, 2014, 3(3): 51-55. http://dx.doi.org/10.12677/NS.2014.33011

参考文献

[1] 陆敏敏 (2011) 循证护理的理论与实践. 护士进修杂志, 2, 99-101.
[2] 陈孝文, 梁东, 刘华锋 (2006) 慢性肾衰竭. 中国医药科技出版社, 北京, 5-32.
[3] 江宏 (2006) 肾移植病人术后依从性和健康教育模式的研究. 护理研究, 4B, 986-987.
[4] 董静静, 顾沛, 陈利群 (2009) 肾移植病人生活质量的研究进展. 全科护理, 1, 169-171.
[5] Unruh, M.L. and Hess, R. (2007) Assessment of health-related quality of life among patients with chronic kidney disease. Advances in Chronic Kidney Disease, 14, 345-352.
[6] 郑颖, 冯新 (2003) 肾移植术后观察及护理. 中国水电医学, 4, 242-244.
[7] Kalender, B., Ozdemir, A.C., et al. (2007) Quality of life in chronic kidney disease: Effects of treatment modality, depression, malnutrition and inflammation. International Journal of Clinical Practice, 61, 569-576.
[8] 董静静, 顾沛, 陈利群, 等 (2009) 肾移植病人生活质量现状与影响因素分析. 护理研究, 6, 1411-1414.
[9] 周玉虹, 初善芝, 黄淑萍, 等 (2003) 肾移植术后病人生活质量及影响因素的调查研究. 护理学杂志, 5, 329-331.
[10] Shah, V.S., Ananth, A., Sohal, G.K., et al. (2006) Quality of life and psychosocial factors in renal transplant recipients. Transplantation Proceedings, 38, 1283-1285.
[11] 范仲珍, 袁浩斌, 胡雁, 等 (2005) 肾移植患者生活质量量表. 行为医学量表手册, 中华医学电子音像出版社, 北京, 152-154.
[12] 杨文彦 (2011) 循证护理与自我护理相结合在老年肾移植病人中的应用研究. 护理研究, 4, 1048-1050.