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.	钟冬秀, 毛君晓, 兰艳莉, 等. 设立"出院患者护理服务站"社会需求的调查研究[J]. 中国实用护理杂志, 2007, 23(1):7-9.
14.	陈彩玲, 袁鹏英, 谷一薄, 等. 维持性血液透析高血压患者延续性护理应用效果评价[J]. 中国血液净化, 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. 于学清. 血液净化中心治疗新技术标准与并发症防范措施及典型案例分析实用全书[M]. 北京:人民卫生出版社, 2011:79.
2. 陈香美. 实用肾脏病学[M]. 北京:北京医科大学/中国协和医科大学联合出版社, 1995:472.
3. 周瑾, 王仲迪. 老年糖尿病用药依从性差的原因及对策研究[J]. 护士进修杂志, 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, 宁云凤, 叶家薇. 透析日记本在门诊血液透析患者中的应用效果观察[J]. 护理与康复, 2013, 12(5):490-491.
6. 王爱平, 冯茂玲. 血液透析患者自我管理行为问卷的开发[J]. 中国卫生统计, 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. 钟冬秀, 毛君晓, 兰艳莉, 等. 设立"出院患者护理服务站"社会需求的调查研究[J]. 中国实用护理杂志, 2007, 23(1):7-9.
14. 陈彩玲, 袁鹏英, 谷一薄, 等. 维持性血液透析高血压患者延续性护理应用效果评价[J]. 中国血液净化, 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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