Abstract
ObjectiveTo explore the effects of rapid rehabilitation surgery (FTS) nursing combined with continuous nursing on self-care ability, medication compliance and quality of life of patients after renal transplantation.MethodsSixty patients who received kidney transplantation in our hospital from January 2019 to January 2021 were randomly divided into the control group and the observation group with 30 patients in each group according to the random number table method. The control group was given FTS nursing, while the observation group was given continuous nursing on the basis of the control group. General data were collected and compared between the two groups. Postoperative indexes such as the time of first intake and the like of patients in the two groups were recorded. The patients' comfort, self-care ability, medication compliance and quality of life after renal transplantation were evaluated in the two groups. During the follow-up, the hospitalization of patients with complications was recorded.ResultsThere was no significant difference in the first intake, blood glucose, creatinine, urea nitrogen, blood potassium or postoperative hospital stay between the two groups (P > 0.05). There was no significant difference in the postoperative physical, mental, psychological, social and environmental dimensions between the two groups (P > 0.05). The scores of cognitive symptom management, exercise and communication with doctors in the two groups in post-intervention were higher than those in pre-intervention, and the scores in the observation group in post-intervention were higher than those in the control group (P < 0.05). The medication compliance in the observation group (93.33%) was higher than that in the control group (70.00%) (χ2 = 5.455, P = 0.020). In post-intervention, the scores of quality of life of the observation group were higher than those of the control group (P < 0.05). The admission rate of complications in the observation group (10.00%) was lower than that in the control group (30.00%) (χ2 = 3.750, P = 0.035).ConclusionFTS nursing can help renal transplantation patients to obtain more stable postoperative blood pressure, renal function and other indicators and comfort. On this basis, combined with continuous nursing can improve patients' self-care ability and medication compliance, which is of great significance to improve the quality of life of patients.
Highlights
Kidney transplantation is an effective treatment for end-stage renal disease
Patients in the control group received Fast-track surgery (FTS) nursing: The nursing management team established was mainly composed of researchers and doctors, nurses and dieticians in their hospitals studying the direction of renal transplantation
Body mass index (BMI) and total calories were calculated based on the patient’s height and weight
Summary
Kidney transplantation is an effective treatment for end-stage renal disease. In recent years, with the development of medical technology, the survival rate of grafts after kidney transplantation has obviously improved, which is conducive to prolonging the life span of patients and improving the quality of life [1]. Complications such as rejection, delayed recovery of transplanted renal function and urinary fistula bring difficulties to the nursing and patient management of kidney transplantation. It is difficult for patients to obtain professional nursing guidance after they are discharged from hospital, and the patients’ self-management ability and medication compliance are poor, making it difficult to meet the needs of kidney transplant recipients for lifelong medical treatment. Continuous nursing can provide professional care for discharged patients, improve their self-management ability, find abnormalities as early as possible, and get timely and effective treatment [6, 7]. FTS nursing combined with continuous nursing of renal transplant patients was used to explore the influence of two nursing methods on self-care ability, medication compliance and quality of life of renal transplant patients
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