行为分阶段转变理论模式干预对老年糖尿病肾脏病终末期血液净化患者负性情绪、自护能力及依从性的影响

Effects of behavioral phased change theory model intervention on negative emotions,self-care ability and compliance in elderly patients with end-stage diabetic nephropathy undergoing blood purification

中文关键词: 老年  糖尿病肾脏病终末期  行为分阶段转变理论模式干预  血液净化

英文关键词: elderly  end-stage diabetic nephropathy  behavioral phased change theory model intervention  blood purifi-cation

中文摘要:

      目的 探究行为分阶段转变理论模式干预在老年糖尿病肾脏病终末期血液净化患者中的应用效果,为治疗该病症提供方法.方法 回顾性分析2021年3月—2024年3月在成都医学院第二附属医院·核工业四一六医院收治的125例老年糖尿病肾脏病终末期患者的临床资料,根据干预方式不同分为观察组(n=63)和对照组(n=62).2组患者均进行血液净化治疗,对照组给予常规干预,观察组给予常规干预加行为分阶段转变理论模式干预.比较2组患者干预前后负性情绪、自护能力,以及干预后依从性和并发症发生情况.结果 与对照组相比,观察组负性情绪评分更低、自护能力各项评分更高、患者总依从率更高、并发症发生率更低(均P＜0.05).结论 对老年糖尿病肾脏病终末期血液净化患者实施基于行为分阶段转变理论模式的干预,可显著改善患者的负性情绪,提升其自护能力和治疗依从性,并有效降低并发症发生率,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application effects of the behavioral phased change theory model intervention on elderly patients with end-stage diabetic nephropathy undergoing blood purification,and provide a method for the treatment of this disease.Methods A retrospective study was conducted on 125 elderly patients with end-stage diabetic nephropathy admit-ted to Second Affiliated Hospital of Chengdu Medical College·Hospital 416 of Nuclear Industry from March 2021 to March 2024.Patients were divided into observation group(n=63)and control group(n=62)according to different intervention methods.Both groups received blood purification treatment.The control group received routine intervention,while the observa-tion group received routine intervention+behavioral phased change theory model intervention.The negative emotions and self-care ability of the two groups before and after the intervention,as well as the compliance and incidence of complications after the intervention were compared.Results Compared with the control group,the observation group had lower scores of negative emotions,higher scores of items of self-care ability,higher total compliance rate of patients,and lower incidence of complica-tions(all P＜0.05).Conclusion The application of the behavioral phased change theory model intervention in elderly pa-tients with end-stage diabetic nephropathy undergoing blood purification can significantly improve their negative emotions,en-hance their self-care ability and treatment compliance,and effectively reduce the incidence of complications.It has certain clini-cal application value.