The application effect of advance care planning in hemodialysis patients

doi:10.3761/j.issn.0254-1769.2022.06.001

Abstract

Abstract:

Objective To explore the application effect of advance care planning in hemodialysis patients.Methods A total of 80 hemodialysis patients who were treated in a tertiary hospital in Zhengzhou from October 2020 to June 2021 were selected as the research subjects. According to the random number table method,they were divided into a control group and an intervention group with 40 cases each. The intervention group was implemented with a 4-week advance care planning,and the control group received the routine care. The death attitude profile-revised scale,the Chinese version of the meaning in life questionnaire and the patient dignity inventory scale were used to compare the differences in death attitude,meaning of life and dignity between the 2 groups of patients.Results After the intervention,the patients in the intervention group changed their attitude toward death;the score of meaning of life was higher than that of the control group;the score of dignity was lower than that of the control group;the differences were statistically significant（P<0.05）.Conclusion Advance care planning can help hemodialysis patients change into a positive attitude toward death,increase the sense of meaning in life,and maintain the dignity of patients.

Key words: Advance Care Planning, Chronic Kidney Disease, Hemodialysis, Attitude to Death, Meaning in Life, Intervention Studies, Nursing Care

摘要：

目的探讨预立医疗照护计划在血液透析患者中的应用效果。方法采用便利抽样法,选取2020年10月—2021年6月在郑州市某三级甲等医院就诊的80例血液透析患者作为研究对象,使用随机数字表法分为试验组和对照组各40例。试验组实施4周预立医疗照护计划干预,对照组实施常规护理。干预前后分别采用死亡态度描绘量表、生命意义感量表中文版和患者尊严量表比较两组死亡态度、生命意义感和尊严感差异。结果干预前两组死亡态度描绘量表、生命意义感量表中文版和患者尊严量表得分差异无统计学意义（P>0.05）;干预后试验组患者死亡态度转为正向态度,生命意义感量表中文版得分高于对照组,患者尊严量表得分低于对照组,差异具有统计学意义（P<0.05）。结论实施预立医疗照护计划干预能够帮助血液透析患者转变为正向死亡态度,增加生命意义感,维护患者尊严。

关键词: 预立医疗照护计划, 慢性肾脏病, 血液透析, 死亡态度, 生命意义感, 干预性研究, 护理

LI Hao, JING Mengjuan, XU Yulin, LI Xiumei, QU Ruijie, WU Yuanyuan, GUO Jinming, ZHENG Yan. The application effect of advance care planning in hemodialysis patients[J]. Chinese Journal of Nursing, 2022, 57(6): 645-650.

李豪, 景孟娟, 徐榆林, 李秀梅, 曲瑞杰, 武园园, 郭金铭, 郑燕. 预立医疗照护计划在血液透析患者中的应用研究[J]. 中华护理杂志, 2022, 57(6): 645-650.

Figures/Tables 4

Table 1 Comparison of general data between the two groups[case（percentage,%）]

Table 2 Comparison of Death Attitude Profile-Revised Scale scores between the two groups（score,$\bar{x}$±s）

Table 3 Comparison of Chinese version of the Meaning in Life Questionnaire Scale scores between the two groups（score,$\bar{x}$±s）

Table 4 Comparison of Patient Dignity Inventory Scale scores between the two groups（score,$\bar{x}$±s）

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