Application of "three-in-one" nursing management model on patients with maintained hemodialysis

Abstract

Objective To explore the effects of the three-in-one nursing management model when applied in the patients with maintained hemodialysis. Methods Totally 102 patients with maintained hemodialysis who were treated in Tongde Hospital of Zhejiang Province from July 2015 to August 2017 were selected by convenient sampling, and equally and randomly divided into a control group and an observation group. Patients in the control group received routine nursing and management, while patients in the observation group received the three-in-one nursing and management of hospitals, communities and families. Their personal information was filed when they were admitted into hospital, and the nursing work was transferred to the nurses in the community health service center in the vicinity of the patients' residence which was chosen one week before the patients were discharged from hospital. These nurses provided family rehabilitation guidance to the patients. The changes in blood pressure, degree of thirst, taste acuity and the resting salivary flow rate were compared between the patients in the two groups before and after the intervention. The Self-Management Scale and the MOS Item Short Form Health Survey (SF-36) were used to compare the self-management behavior and quality of life between the patients in the two groups. Results After three months' intervention, the systolic pressure of the patients in the observation group and the patients in the control group was (132.67±12.54) mmHg and (141.57±12.09) mmHg respectively (t=3.370, P<0.05) ; the taste acuity score of the patients in the observation group and the patients in the control group was (78.23±8.72) and (66.31±9.65) , respectively (t=6.545, P<0.05) ; the scores for self-management behavior and overall health of the patients in the observation were (70.52±10.05) and (87.65±6.92) , both higher than those of the patients in the control group (t=4.656, 2.660; P<0.05) . Conclusions The three-in-one nursing and management model applied in the patients with maintained hemodialysis can help to improve taste acuity, self-management behavior and quality of life in these patients, thus worthy of clinical application. Key words: Hemodiafiltration; Quality of life; Three-in-one