摘要
目的评价跨理论模型对血液透析患者体质量管理、血清磷水平、负性情绪和生存质量的干预效果。方法检索中国知网、万方数据知识服务平台、Pubmed等多个数据库,搜集有关跨理论模型对血液透析患者护理干预的随机对照试验(RCT),对纳入研究进行筛查并评价,应用RevMan5.0软件进行Meta分析。结果本研究共纳入13篇文献,接受跨理论模型护理干预的患者与接受常规护理的患者相比,体质量控制稳定[加权均数差值(SMD)=-1.48,95%CI(-1.89,-1.07),P<0.05],血清磷水平稳定[SMD=-0.62,95%CI(-0.98,-0.26),P<0.05],负性情绪改善效果好[SMD=-1.01,95%CI(-1.32,-0.69),P<0.05],生存质量提高[SMD=0.64,95%CI(0.38,0.91),P<0.05]。结论基于跨理论模型的护理干预可以控制血液透析患者的体质量及血清磷水平,改善患者的负性情绪,提高患者的生存质量。
Objective To evaluate the intervention effect of the transtheoretical model on the body mass management,serum phosphorus level,negative emotions and quality of life in hemodialysis patients.MethodsThe relevant randomized controlled trials（RCTs）on the transtheoretical model for the nursing intervention in the patients with hemodialysis were retrieved from the databases such as CNKI,Wangfang Data,Pubmed,et al.The included RCT were screened and evaluated.The meta analysis was performed by using the RevMan5.0 software.Results Thirteen RCTs were included in this study.Compared with the patients receiving the conventional nursing,the patients receiving the transtheoretical model of nursing intervention were more stable in body mass control[SMD=-1.48,95%CI（-1.89,-1.07）,P〈0.05],more stable in the serum phosphorus level[SMD=-0.62,95%CI（-0.98,-0.26）,P〈0.05]and had good improvement effect of negative moods[SMD=-1.01,95%CI（-1.32,-0.69）,P〈0.05]and increased the quality of life[SMD=0.64,95%CI（0.38,0.91）,P〈0.05].Conclusion The transtheoretical model of nursing intervention could control the body mass and serum phosphorus level,improve the negative emotions and increase the quality of life.
作者
刘小娟
杨晓
秦殿菊
李淑霞
焦丽艳
LIU Xiaojuan 1 , YANG Xiao1, QIN Dianju1 , L I Shuxia2 , JIAO Liyan(1. School of Nursing, Chengde Medical College, Chengde , Hebei 067000, China ; 2. Department of Nephrology,Affiliated Hospital of Hebei University of Engineering, Handan, Hebei 056000, Chin)
出处
《重庆医学》
CAS
2018年第24期3198-3203,共6页
Chongqing medicine
关键词
肾透析
跨理论模型
血液透析
护理干预
META分析
renal dialysis
the transtheoretical model
hemodialysis
nursing intervention
meta analysis
