Efficacy of Continuous Nursing Intervention on Self-management Ability and Medication Compliance of Patients Undergoing Maintenance Hemodialysis_West China Medical Journal

Authors：

 TANGXiang , ZHANGJian-lin

Department of Nephrology, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, Guangdong 510010, P. R. China;

Corresponding?author：

Keywords：

Continuous nursing care; Hemodialysis; Self-management; Compliance

DOI：

10.7507/1002-0179.20150433

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Objective To investigate the efficacy of follow-up continuous nursing intervention on the self-management ability and medication compliance of patients undergoing maintenance hemodialysis. Methods Between June and December 2013, 157 maintenance hemodialysis patients were randomly divided into control group (n=76) and study group (n=81). The control group was given conventional nursing, while the study group received continuous nursing intervention program as well as conventional nursing. Six months later, the self-management ability and medication compliance of the patients were assessed by using self-made Patient Self-management Scale and Morisky Medication Compliance Scale. Results Six months later, self-management ability in patients of the study group was significantly better than that in the control group (P<0.05). Medication compliance rate in the study group reached a highest of 45.7%, while it was only 18.4% in the control group, and the difference between the two groups was significant (χ²=13.283, P<0.001). Conclusion Follow-up continuous nursing intervention can obviously improve maintenance hemodialysis patients' ability of self management and compliance behavior, so as to improve the quality of life of these patients.

Citation： TANGXiang, ZHANGJian-lin. Efficacy of Continuous Nursing Intervention on Self-management Ability and Medication Compliance of Patients Undergoing Maintenance Hemodialysis. West China Medical Journal, 2015, 30(8): 1511-1513. doi: 10.7507/1002-0179.20150433 Copy

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9.	Naylor MD, Feldman PH, Keating S, et al. Translating research into practice:transitional care for older adults[J]. J Eval Clin Pract, 2009, 15(6):1164-1170.
10.	Naylor MD, Kurtzman ET, Pauly MV. Transitions of elders between long-term care and hospitals[J]. Policy Polit Nurs Pract, 2009, 10(3):187-194.
11.	Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure:a randomized, controlled trial[J]. J Am Geriatr Soc, 2004, 52(5):675-684.
12.	Chow SK, Wong FK, Chan TM, et al. Community nursing services for postdischarge chronically ill patients[J]. J Clin Nurs, 2008, 17(7B):260-271.
13.	鐘冬秀, 毛君曉, 蘭艷莉, 等. 設立"出院患者護理服務站"社會需求的調查研究[J]. 中國實用護理雜志, 2007, 23(1):7-9.
14.	陳彩玲, 袁鵬英, 谷一薄, 等. 維持性血液透析高血壓患者延續性護理應用效果評價[J]. 中國血液凈化, 2013, 12(7):404-406.
15.	Kugler C, Vlaminck H, Haverich A, et al. Nonadherence with diet and fluid restrictions among adults having hemodialysis[J]. J Nurs Scholarsh, 2005, 37(1):25-29.
16.	Rosenberger J, Geckova AM, Van Dijk JP, et al. Prevalence and characteristics of noncompliant behaviour and its risk factors in kidney transplant recipients[J]. Transplant Int, 2005, 18(9):1072-1078.

1. 于學清. 血液凈化中心治療新技術標準與并發癥防范措施及典型案例分析實用全書[M]. 北京:人民衛生出版社, 2011:79.
2. 陳香美. 實用腎臟病學[M]. 北京:北京醫科大學/中國協和醫科大學聯合出版社, 1995:472.
3. 周瑾, 王仲迪. 老年糖尿病用藥依從性差的原因及對策研究[J]. 護士進修雜志, 2002, 17(1):12-14.
4. Griffin KM. Evolution of transitional care settings:past, present, future[J]. AACN Clin Issues, 1998, 9(3):398-408.
5. 胡菊妹, 寧云鳳, 葉家薇. 透析日記本在門診血液透析患者中的應用效果觀察[J]. 護理與康復, 2013, 12(5):490-491.
6. 王愛平, 馮茂玲. 血液透析患者自我管理行為問卷的開發[J]. 中國衛生統計, 2005, 22(6):368-372.
7. Morisky DE, Ang A, Krousel-Wood M, et al. Predictive validity of a medication adherence measure in an outpatient setting[J]. J Clin Hypertens, 2008, 10(5):348-354.
8. Bixby MB, Naylor MD. The transitional care model (TCM):hospital discharge screening criteria for high risk older adults[J]. Medsurg Nurs, 2010, 19(1):62-63.
9. Naylor MD, Feldman PH, Keating S, et al. Translating research into practice:transitional care for older adults[J]. J Eval Clin Pract, 2009, 15(6):1164-1170.
10. Naylor MD, Kurtzman ET, Pauly MV. Transitions of elders between long-term care and hospitals[J]. Policy Polit Nurs Pract, 2009, 10(3):187-194.
11. Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure:a randomized, controlled trial[J]. J Am Geriatr Soc, 2004, 52(5):675-684.
12. Chow SK, Wong FK, Chan TM, et al. Community nursing services for postdischarge chronically ill patients[J]. J Clin Nurs, 2008, 17(7B):260-271.
13. 鐘冬秀, 毛君曉, 蘭艷莉, 等. 設立"出院患者護理服務站"社會需求的調查研究[J]. 中國實用護理雜志, 2007, 23(1):7-9.
14. 陳彩玲, 袁鵬英, 谷一薄, 等. 維持性血液透析高血壓患者延續性護理應用效果評價[J]. 中國血液凈化, 2013, 12(7):404-406.
15. Kugler C, Vlaminck H, Haverich A, et al. Nonadherence with diet and fluid restrictions among adults having hemodialysis[J]. J Nurs Scholarsh, 2005, 37(1):25-29.
16. Rosenberger J, Geckova AM, Van Dijk JP, et al. Prevalence and characteristics of noncompliant behaviour and its risk factors in kidney transplant recipients[J]. Transplant Int, 2005, 18(9):1072-1078.

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West China Medical Journal

Efficacy of Continuous Nursing Intervention on Self-management Ability and Medication Compliance of Patients Undergoing Maintenance Hemodialysis

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