Volume 22 Issue 8
Aug.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(8): 1359-1363
LIU Bingyan, WANG Li, ZHANG Li, XU Shanshan, YIN Xiaoli, ZHANG Jiqiang. 5E rehabilitation program based on MDT model effect of intervention on elderly maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2024, 22(8): 1359-1363. doi: 10.16766/j.cnki.issn.1674-4152.003636
Citation: LIU Bingyan, WANG Li, ZHANG Li, XU Shanshan, YIN Xiaoli, ZHANG Jiqiang. 5E rehabilitation program based on MDT model effect of intervention on elderly maintenance hemodialysis patients[J]. Chinese Journal of General Practice, 2024, 22(8): 1359-1363. doi: 10.16766/j.cnki.issn.1674-4152.003636
shu

5E rehabilitation program based on MDT model effect of intervention on elderly maintenance hemodialysis patients

doi: 10.16766/j.cnki.issn.1674-4152.003636
  • 1.

    Blood Purification Center, Huaibei Miners General Hospital, Huaibei, Anhui 235000, China

Funds:

 KJ2020A0592

 BYKY2019199SKZD

  • Received Date: 2023-12-11
    Available Online: 2024-11-19
    Abstract
  •   Objective  To explore the influence of the 5E rehabilitation program of multidisciplinary diagnosis and treatment team model on elderly maintenance hemodialysis patients, and to provide a clinical basis for the formulation of the 5E rehabilitation program.  Methods  A total of 82 elderly maintenance hemodialysis patients admitted to the Hemodialysis Department of Huaibei Miners General Hospital from January 2021 to December 2022 were selected as the study objects and were divided into a control group (40 cases) and an observation group (42 cases) by random number method. The control group received the routine nursing intervention of hemodialysis, and the observation group received a 5E rehabilitation program based on a multidisciplinary diagnosis and treatment team model on the basis of routine nursing. The differences in self-management ability, treatment compliance, and nutritional status between the two groups were compared before and after the intervention, and the changes in dialysis effect indexes in the observation group were compared before and after the intervention.  Results  Inter-group comparison showed that 3 months and 6 months after intervention, the scores of 4 dimensions of self-management behavior and total scores in the observation group were higher than those in the control group (P < 0.05), the overall improvement of treatment compliance in the observation group was better than that in the control group (P < 0.05), and the values of hemoglobin, serum albumin, prealbumin and BMI in the observation group were higher than those in the control group (P < 0.05). Intra-group comparison showed that the serum potassium, blood phosphorus, serum creatinine and blood urea nitrogen [(21.25±4.13) mmol/L, (18.86±3.92) mmol/L vs. (23.43±4.35) mmol/L] of patients at 3 and 6 months after intervention were decreased compared with those before intervention (P < 0.05).  Conclusion  The 5E rehabilitation program based on the multidisciplinary diagnosis and treatment team model can improve patients ' self-management ability and treatment compliance in the clinical application of elderly maintenance hemodialysis patients, and has a certain role in improving nutritional status and improving dialysis effects.

     

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