Research on the application effect of chronic disease self-management plan in the nursing of patients with chronic kidney disease
慢性病自我管理计划在慢性肾脏病患者护理中的应用效果研究

摘要

目的 在慢性肾脏病护理中采用自我管理计划的临床价值与效用。方法 以2020年6月-2021年6月期间来医院就诊的72例慢性肾脏病患者，作为此次实验探究的目标对象，利用盲选法将其分为对照组（n=36，常规护理）与实验组（n=36，在对照组基础之上辅以自我管理计划干预），对比两组患者各项肾功能数据水平与自我管理能力评分。结果 护理后，实验组患者尿蛋白（123.37±1.63）mg/L、血肌酐（73.05±3.56）μmol/L、血尿氮素（8.33±1.45）mmol/L等指标数据低于对照组，Scr清除率（97.22±8.55）mL/min高于对照组（P<0.05）；实验组患者症状评分（29.61±2.73）、情绪评分（27.53±2.41）、自我效能（32.44±2.02）各项评分均高于对照组（P<0.05）。结论 对慢性肾脏病患者使用在对照组基础之上辅以自我管理计划干预，可明显提高患者的自护与管理能力，增加自我效能，并对其整体的治疗依从性有着显著的改善作用，使得康复周期减少，可在临床相似病例中普及、推广。

Abstract

Objective To evaluate the clinical value and effectiveness of self-management plan in the nursing of chronic kidney disease.
Methods taking 72 patients with chronic kidney disease who came to the hospital from June 2020 to June 2021 as the target object of this experiment, they were divided into control group (n = 36, routine nursing) and experimental group (n = 36, supplemented by self-management plan intervention on the basis of control group) by blind selection. The data levels of renal function and self-management ability scores of the two groups were compared.
Results after nursing, urine protein (123.37 ± 1.63) mg / L and blood creatinine (73.05 ± 3.56) in the experimental group μ The clearance rate of nitrogen (SCR) in the control group was lower than that in the control group (33 ± 8.05 mol / L) (P < 0.05); The scores of symptom score (29.61 ± 2.73), emotion score (27.53 ± 2.41) and self-efficacy (32.44 ± 2.02) in the experimental group were higher than those in the control group (P < 0.05).
Conclusion   the use of self-management plan intervention for patients with chronic kidney disease on the basis of the control group can significantly improve their self-care and management ability, increase self-efficacy, and significantly improve their overall treatment compliance, reduce the rehabilitation cycle, and can be popularized and popularized in similar clinical cases.