文献类型：期刊文献

中文题名：ADL自理能力训练早期干预对老年维持性血液透析患者的效果分析

英文题名：Analysis of the Effect of Early Intervention of ADL Self-care Ability Training on Elderly Maintenance Hemodialysis Patients

作者：周巧玲[1];李秀梅[1];张莲荷[1];卢凯利[1]

第一作者：周巧玲

机构：[1]甘肃中医药大学附属医院肾病科,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2020

卷号：39

期号：28

起止页码：166

中文期刊名：中外医疗

外文期刊名：China & Foreign Medical Treatment

基金：采用ADL能力训练干预方案提高老年维持性血液透析患者自我管理的临床研究(GSWSKY-2019-60)。

语种：中文

中文关键词：ADL自理能力训练;早期干预;老年维持性血液透析患者

外文关键词：ADL self-care ability training;Early intervention;Elderly maintenance hemodialysis patients

摘要：目的探讨ADL(日常生活能力)自理能力训练早期干预对老年维持性血液透析(MHD)患者的效果。方法便利选择2019年1—12月在该院血液透析中心收治的ADL评分≤60分的老年MHD患者41例,随机分为两组,对照组21例,观察组20例。对照组给予常规护理和健康指导,观察组在对照组基础上采用ADL自理能力训练干预方案,实施干预措施12周后,采用Barthel指数(日常生活能力评定量表)、MRC(肌力分级)、SDS(抑郁自评量表)、血液透析患者自我管理行为问卷评估两组患者自理能力、心理状况和自我管理能力及两组患者干预前后生理指标。结果两组患者干预前Barthel指数、MRC和SDS差异无统计学意义(P>0.05),干预后观察组Barthel指数、MRC和SDS评分分别为(80.4±12.0)、(53.7±1.1)分、(11.4±2.0)分,优于对照组的(45.4±10.0)、(42.7±1.0)分、(18.0±2.2)分,组间差异有统计学意义(t=6.569、4.771、4.565,P<0.05);观察组干预后自我管理能力及部分生理指标优于对照组,差异有统计学意义(t=5.437、4.045、3.528、3.821、5.011、3.124、1.765,P<0.05)。结论ADL自理能力训练早期干预能有效改善老年维持性血液透析患者的生活自理能力和自我管理能力。
Objective To investigate the effect of early intervention of ADL(activity of daily living)self-care ability training on elderly maintenance hemodialysis(MHD)patients.Methods From January to December 2019,41 elderly MHD patients with ADL score≤60 points were Convenient selected in the hemodialysis center of the hospital and randomly divided into two groups,21 cases in the control group and 20 cases in the observation group.The control group was given routine nursing and health guidance,and the observation group adopted the ADL self-care ability training intervention program on the basis of the control group.After the intervention measures were implemented for 12 weeks,the Barthel index(Abilities of Daily Life Rating Scale),MRC(muscle strength rating),SDS(Self-Rating Depression Scale),Hemodialysis Patient Self-Management Behavior Questionnaire assesses the self-care ability,psychological status and self-management ability of the two groups of patients,and the physiological indicators of the two groups of patients before and after intervention.Results There was no significant difference in Barthel index,MRC and SDS between the two groups of patients before intervention(P>0.05).After intervention,the Barthel index,MRC and SDS scores of the observation group were(80.4±12.0),(53.7±1.1)points and(11.4±2.0)points,which were better than the control group's(45.4±10.0),(42.7±1.0)points and(18.0±2.2)points,the difference between the groups was statistically significant(t=6.569,4.771,4.565,P<0.05);after intervention,the self-management ability and some physiological indexes of the observation group were better than those of the control group,and the difference was statistically significant(t=5.437,4.045,3.528,5.821,3.011,3.124,1.765,P<0.05).Conclusion Early intervention of ADL self-care ability training can effectively improve the life self-care ability and self-management ability of elderly maintenance hemodialysis patients.