中西医结合护理(中英文)2025,Vol.11Issue(2):201-204,4.DOI:10.11997/nitcwm.202502051
基于IMB模型的延续性护理在慢性肾衰竭血液透析患者中的应用
Application of continuous nursing based on IMB model in hemodialysis patients with chronic renal failure
常颖 1孙蕾 1刘金凤1
作者信息
- 1. 徐州市中心医院,江苏 徐州,221009
- 折叠
摘要
Abstract
Objective To investigate the clinical value of continuous nursing based on the information-motivation-behavioral skills(IMB)model during hemodialysis in patients with chronic renal failure.Methods A retrospective analysis was conducted on 80 patients with chronic renal failure who underwent hemodialysis regularly at Xuzhou Central Hospital from January 2022 to May 2023.Forty-two patients who received routine nursing were set as the control group,and 38 patients who received continuous nursing based on the IMB model were set as the observation group.The incidence of complications,renal function level,and urea clearance rate of the two groups were compared.Results The total incidence of complications of the observation group was lower than that of the control group(P<0.05).After dialysis and 3 months of follow-up,the serum creatinine and urea nitrogen levels in the observation group were lower than those in the control group(P<0.05),and these levels in both groups were lower than their respective levels prior to dialysis(P<0.05).After dialysis and 1 and 3 months of follow-up,the urea clearance rate of the observation group was higher than that of the control group(P<0.05),and both groups had higher urea clearance rates in comparison with their pre-dialysis levels(P<0.05).Conclusion In patients with chronic renal failure,hemodialysis combined with continuous nursing based on the IMB model can effectively reduce the risk of anemia and other complications,improve the renal function level,and increase the urea clearance.关键词
慢性肾衰竭/血液透析/IMB模型/延续性护理/并发症Key words
chronic renal failure/hemodialysis/IMB model/continuous nursing/complication分类
临床医学引用本文复制引用
常颖,孙蕾,刘金凤..基于IMB模型的延续性护理在慢性肾衰竭血液透析患者中的应用[J].中西医结合护理(中英文),2025,11(2):201-204,4.